ReviewEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2021
Modern management of paediatric tibial shaft fractures: an evidence-based update.
Review in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- Treatment of Unstable Tibia Shaft Fractures in Children With Elastic Stable Intramedullary Nails or Minimally Invasive Plate Osteosynthesis: Comparative Study on 2 Treatment Options.Journal of pediatric orthopedics · 2026Article
- Interventions for treating tibial shaft fractures in children.The Cochrane database of systematic reviews · 2025Article
- Comparison of Three Surgical Options for Treatment of Diaphyseal Tibia Fractures in Pediatric Patients.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Outcomes of Suprapatellar Intramedullary Nail Fixation of Tibial Shaft Fractures in Skeletally Immature Patients.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Article
- Delayed Union and Nonunion: Current Concepts, Prevention, and Correction: A Review.Bioengineering (Basel, Switzerland) · 2024Review
- Paediatric tibial shaft fractures: an instructional review for the FRCS exam.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Article
- Asthma and Its Impact on Pediatric Patients Undergoing Surgical Management of Tibial Shaft Fractures.Cureus · 2022Article
- Orthopaedic education: a COVID-driven evolution.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThis review provides a summary of recent evidence surrounding the treatment of paediatric tibial shaft fractures and presents an algorithm to aid management of these injuries. This article reviews the relevant anatomy, epidemiology and aetiology of tibial shaft fractures and summarises contemporary treatment principles. Management recommendations and supporting evidence are given for fractures according to age (< 18 months, 18 months-5 years, 6-12 years, and 13-18 years). The relative merits of casting, plate fixation, elastic and rigid intramedullary nailing, and external fixation are discussed. Special attention is paid to the management of open tibial shaft fractures and to complications including infection and acute compartment syndrome.
conclusionsThere has been a shift away from non-operative management of paediatric tibial shaft fractures over the last 30 years. However, recent evidence highlights that a non-operative approach produces acceptable outcomes when used in simple closed fractures at any age. Operative management may be indicated for unstable fractures where satisfactory alignment cannot be maintained or in specific circumstances including open injuries and polytrauma. Open injuries require urgent assessment by a combined orthopaedic and plastic surgery team at a specialist tertiary centre.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.