Open fractures of the tibia in children

S. L. Buckley, G. Smith, Paul David Sponseller, J. D. Thompson, P. P. Griffin

Research output: Contribution to journalArticle

Abstract

Forty-one children who had forty-two open fractures of the tibial metaphysis or diaphysis were studied retrospectively. Twelve fractures were Type I; eighteen, Type II; six, Type IIIA; four, Type IIIB; and two, Type IIIC, according to the classification of Gustilo et al. All fractures were irrigated and debrided, and antibiotics were given for a minimum of forty-eight hours after the injury. Twenty fractures were initially treated with external fixation and twenty-two, with immobilization in a plaster cast. Three patients had an early infection of the wound, one of which was associated with osteomyelitis; all were successfully treated. The average time to healing of the fracture was five months (range, two to twenty-one months). The time to union was related to the severity of the soft-tissue injury, the pattern of the fracture, the amount of segmental bone loss, the occurrence of infection, and the use of external fixation. There were six delayed unions. Four patients had an angular malunion of more than 10 degrees, which spontaneously corrected in three. One patient who had a proximal metaphyseal-diaphyseal segmental fracture had a progressive valgus deformity. Four patients who had a severe fracture that was treated with external fixation had more than one centimeter of tibial overgrowth. There were no amputations. The incidences of compartment syndrome, vascular injury, infection, and delayed union were similar to those reported for open tibial fractures in adults.

Original languageEnglish (US)
Pages (from-to)1462-1469
Number of pages8
JournalThe Journal of bone and joint surgery. American volume
Volume72 A
Issue number10
StatePublished - 1990
Externally publishedYes

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Open Fractures
Tibia
Surgical Casts
Compartment Syndromes
Soft Tissue Injuries
Diaphyses
Tibial Fractures
Fracture Healing
Vascular System Injuries
Wound Infection
Osteomyelitis
Infection
Amputation
Immobilization
Anti-Bacterial Agents
Bone and Bones
Incidence
Wounds and Injuries

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Buckley, S. L., Smith, G., Sponseller, P. D., Thompson, J. D., & Griffin, P. P. (1990). Open fractures of the tibia in children. The Journal of bone and joint surgery. American volume, 72 A(10), 1462-1469.

Open fractures of the tibia in children. / Buckley, S. L.; Smith, G.; Sponseller, Paul David; Thompson, J. D.; Griffin, P. P.

In: The Journal of bone and joint surgery. American volume, Vol. 72 A, No. 10, 1990, p. 1462-1469.

Research output: Contribution to journalArticle

Buckley, SL, Smith, G, Sponseller, PD, Thompson, JD & Griffin, PP 1990, 'Open fractures of the tibia in children', The Journal of bone and joint surgery. American volume, vol. 72 A, no. 10, pp. 1462-1469.
Buckley SL, Smith G, Sponseller PD, Thompson JD, Griffin PP. Open fractures of the tibia in children. The Journal of bone and joint surgery. American volume. 1990;72 A(10):1462-1469.
Buckley, S. L. ; Smith, G. ; Sponseller, Paul David ; Thompson, J. D. ; Griffin, P. P. / Open fractures of the tibia in children. In: The Journal of bone and joint surgery. American volume. 1990 ; Vol. 72 A, No. 10. pp. 1462-1469.
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