Release notes of Pediatric tibial shaft
First edition
Publication of first edition (June 21, 2024)
The content has been authored by Philip Henman (UK), Mamoun Kremli (SA), and Dorien Schneidmüller (DE) with Fergal Monsell (UK) and James Hunter (UK) as editors.
Table of contents
The pediatric material of the tibial and fibular shaft, first edition, includes a detailed description of the following fracture types and their management.
Greenstick fracture of the tibia:
- Nonoperative treatment - Below-knee cast
- Nonoperative treatment - Long leg cast
- External fixation
Toddler’s fracture:
- Nonoperative treatment - Splinting
- Nonoperative treatment - Casting
Simple transverse tibial fracture:
- Nonoperative treatment - Casting
- Closed reduction - Casting
- External fixation
- Elastic nailing
- MIPO
- Open reduction - Plate fixation
Simple oblique or spiral tibial fracture:
- Nonoperative treatment - Casting
- Closed reduction - Casting
- External fixation
- Elastic nailing
- MIPO
- Open reduction - Plate fixation
Multifragmentary tibial fracture:
- Nonoperative treatment - Casting
- Closed reduction - Casting
- External fixation
- Elastic nailing
- MIPO
- Open reduction - Plate fixation
Isolated fibular fracture:
- Nonoperative treatment - Long leg cast
- Nonoperative treatment - Below-knee cast
- Nonoperative treatment - Splint
Additional material
The following additional material is available for this module.
Approaches:
- Approach to the anteromedial tibial surface
- Approach to the anterolateral tibial surface
- Minimally invasive medial approach to the tibia
- Minimally invasive lateral approach to the tibia
- Entry points for antegrade elastic nailing
- Safe zones for pin placement in the pediatric tibia
Patient preparations:
- Patient preparation in supine position
Basic techniques:
- Patellar tendon bearing cast (Sarmiento)
Further reading:
- Clinical evaluation
- Radiological evaluation
- Compartment syndrome
- Complications and technical failures
