J Korean Orthop Assoc.  2010 Dec;45(6):440-447. 10.4055/jkoa.2010.45.6.440.

Analysis of Treatment Outcomes for Open Fractures of the Tibia in Children

Affiliations
  • 1Department of Orthopedic Surgery, Chonbuk National University, Medical School Research Institute of Clinical Science, Korea. jrkeem@chonbuk.ac.kr
  • 2Department of Orthopaedic Surgery, Jeju National University College of Medicine, Jeju, Korea.

Abstract

PURPOSE
Our objective was to analyze outcomes of treatment for open fractures of the tibia in children according to the classification of Gustilo-Anderson type.
MATERIALS AND METHODS
We reviewed thirty five pediatric patients who underwent surgery for open fractures of the tibia between June 1998 and June 2007. We followed up over more than 1 year. Fractures were grouped into three types according to Gustilo-Anderson classification (Types I, II, and III). External fixation or flexible intramedullary nailing was used as the surgical method. We analyzed the period required to achieve radiologic bony union, tibial alignment, leg length discrepancy and complications. Clinical outcomes were assessed using the Karlstrom-Olerud method.
RESULTS
Radiologically, bony union was achieved in 11.35+/-3.08 weeks, 10.50+/-2.20 weeks, and 21.62+/-7.19 weeks for types I, II, and III, respectively. Delayed union occurred in one case of type II and 3 cases of type III fractures. Complications such as nonunion, malunion and osteomyelitis were seen only in type III. Clinical outcomes showed excellent or good results in all cases except one (type III).
CONCLUSION
Excellent outcomes for open fractures of the tibia in children can be obtained regardless of Gustilo-Anderson type when adequate procedures are performed.

Keyword

tibia; open fracture; children
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