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Pediatric Diaphyseal Tibia and Distal Tibia Fractures

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Foot and Ankle Disorders

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Abstract

Tibial diaphyseal fractures in pediatric patients are a frequent injury. Many of them can be treated without major complications, but there is a group in which a well-managed treatment is relevant in order not to generate axis and rotational alterations and length discrepancies that could in the future generate restrictions in activities of daily living, pain, and functional sequelae that will limit the patient for life.

Due to its structure and anatomical relationships, the leg is a region where tissues and soft parts can be severely affected by trauma. The degree of injury of these same ones conditions the definitive treatment. It is always necessary to ensure good neurovascular status in this injury.

It is necessary to take into account the age and remodeling potential of the patient when deciding the treatment. If orthopedic treatment is chosen, the casting technique is demanding and requires close follow-up to detect loss of reduction or complications of the cast itself on which to act. If surgical treatment is chosen, it is necessary to be demanding in the technique and to achieve adequate stability, axes, and rotation.

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Author information

Authors and Affiliations

  1. Clinica Alemana de Santiago, Santiago, Chile

    Cristian Olmedo Gárate

  2. Hospital Clínico San Borja Arriarán, Santiago, Chile

    Cristian Olmedo Gárate

  3. Hospital Padre Hurtado, Santiago, Chile

    Cristian Olmedo Gárate

  4. Universidad de Chile, Santiago, Chile

    Cristian Artigas Preller

  5. Hospital de Niños Roberto del Río, Santiago, Chile

    Cristian Artigas Preller

Authors
  1. Cristian Olmedo Gárate
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  2. Cristian Artigas Preller
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Correspondence to Cristian Olmedo Gárate .

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Editors and Affiliations

  1. Orthopedic Surgery Department, Clínica Alemana de Santiago - Universidad del Desarrollo, Santiago, RM - Santiago, Chile

    Emilio Wagner Hitschfeld

  2. Orthopedic Surgery Department, Clínica Alemana de Santiago - Universidad del Desarrollo, Hospital Militar de Santiago – Universidad de los Andes, Santiago, RM - Santiago, Chile

    Pablo Wagner Hitschfeld

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Olmedo Gárate, C., Artigas Preller, C. (2022). Pediatric Diaphyseal Tibia and Distal Tibia Fractures. In: Wagner Hitschfeld, E., Wagner Hitschfeld, P. (eds) Foot and Ankle Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-95738-4_15

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  • DOI: https://doi.org/10.1007/978-3-030-95738-4_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-95737-7

  • Online ISBN: 978-3-030-95738-4

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