Recovery post-surgery may take anywhere from 4 to 6 months and varies depending on the severity of the tibial fracture.Ĭhildren are prone to injuries and fractures as they are curious to explore their environment and engage in sports activities. The plates and screws method is employed when intramedullary nailing is not a viable option. Plates and screws: In this procedure, the bone fragments are reduced or repositioned into their normal alignment and held together by metal plates and screws fixed to the outer surface of the bone.Both ends of the intramedullary nail are screwed to the bone to keep the bones and nail in proper position while the fracture heals. Intramedullary nailing: During this procedure, a metal rod is placed into the central canal of the tibia passing across the fracture site.The screws and pins are secured to a rod outside the skin which holds the bones in the correct position while they heal. External fixation: In this procedure, metal pins or screws are placed into the bone below and above the site of the fracture.Surgical treatment is recommended for complex or open fractures and may involve the use of: Once the procedure is complete, a cast is applied to hold the bones in place while they heal. This procedure is called a closed reduction and is performed under local anesthesia to numb the area while the doctor manipulates the bones, so your child is kept comfortable. Closed reduction: For severe angled fractures in which the bones have not broken through the skin, your doctor will gently manipulate and align the bones properly without the need for surgery.Most fractures of the tibia require the application of a cast or splint for 4 to 6 weeks, and sometimes even longer depending on the severity. Casting and splinting: If your child’s tibia fracture is not too serious and the bone is correctly positioned, your physician may place the affected leg in a cast or splint until the bone heals satisfactorily.The treatment approach for tibial fractures in children depends upon the type and severity of the fracture and involves both nonsurgical as well as surgical methods. To identify the type and severity of the fracture, your doctor will order imaging studies such as X-rays, CT scan, MRI or a bone scan. To diagnose a tibial fracture in children, your child’s pediatric orthopedist will review their symptoms and medical history and conduct a thorough physical examination. Some of the common signs and symptoms of tibia fractures in children include: High-energy trauma, such as sports injuries or motor vehicle accidents.Some of the common causes of tibia fractures in children include: Stress fracture: Also called a hairline fracture, this fracture appears as small thin cracks in the bone and occurs due to overuse or wear and tear. Open fracture: This is also known as a compound fracture and causes serious damage to the surrounding soft tissue structures as the tibial shaft fragments protrude out through the skin to the external air, exposing the fracture site. Spiral fracture: A type of fracture caused by a twisting force with a fracture line that encircles the tibia. Oblique fracture: In this type, the break occurs as an angled line across the tibial shaft.Ĭomminuted fracture: A severe type of fracture where the tibia breaks into 3 or more pieces. Transverse fracture: In this fracture, the break occurs as a straight, horizontal line going across the tibial shaft. Some of the types of tibia fractures that children can sustain include: Tibia fractures in children vary depending on the force involved and are classified into different types based on the location of the fracture, pattern of the fracture, and exposure of the fracture site. The tibia is the most frequently fractured long bone of the body even though it takes a great amount of force for a fracture of the tibia to occur. It bears most of the body’s weight and plays a crucial role in balancing body weight when standing and walking. The tibia or shinbone is the larger of the two bones and is one of the major bones of the lower leg. The lower leg is made up of two long bones called the tibia and fibula that extend between the knee and ankle and help form the ankle joint and knee joint. A break in the top section of the tibia is known as a proximal tibia fracture, whereas a break in the bottom section of the tibia is known as a distal tibia fracture. Most breaks usually occur in the middle of the tibia or “tibial shaft”, known as a tibial shaft fracture. A crack or break in the tibia is referred to as a tibial fracture. Fractures of the tibia, also called the shinbone, are a common injury in children.
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