The Community Orthopaedic Surgeon Taking Trauma Call: Pediatric Tibia Fracture Pearls and Pitfalls

J Orthop Trauma. 2017 Nov:31 Suppl 6:S22-S26. doi: 10.1097/BOT.0000000000001017.


Tibial fractures in children present a wide array of challenges to the managing orthopaedic surgeon. Injuries cover a spectrum from subtle tibial spine fractures to comminuted high-energy shaft fractures requiring free flap coverage. Significant risks range from malunion and leg length discrepancy to infected nonunions and Volkmann ischemic contracture. This article offers evidence and experience-based advice that is aimed at helping the community orthopaedic surgeon taking call.

MeSH terms

  • Child
  • Community Health Services*
  • Fracture Fixation*
  • Humans
  • Tibial Fractures / surgery*