Tibial Shaft Fractures in Children and Adolescents.

Abstract
Tibial shaft fractures are common in the pediatric population.
Traditionally, the majority of pediatric tibial fractures have been managed nonoperatively, but surgical rates are increasing.
Management includes closed reduction and casting, flexible nailing, plate osteosynthesis, external fixation, and rigid intramedullary nailing.
Gustilo-Anderson grade-2 and 3 open pediatric tibial shaft fractures have higher complication rates than closed fractures.
The majority of pediatric tibial shaft fractures have excellent outcomes with an expectation for return to full activities.

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