Fraturas da diáfise da tíbia em crianças

Abstract

Tibial diaphyseal fractures in children and adolescents are relatively common injuries and often evolve with good results when treated through traditional methods of conservative treatment. Their elevated frequency is due to the high degree of exposure of children in physical activities and also to the topographic location, exposing them to direct or indirect trauma. The approach used should consider and respect some features regarding age, place of affection (whether proximal or distal), type of fracture and therapy. The anatomical advantage of a thicker periosteum and flexibility when submitted to angular impacts can provide younger children with greater stability and, consequently, increases their chances of a better prognosis than older children and adolescents. In the latter, the degree of exposure to highenergy trauma and the greater complexity and severity of injuries have caused the recent trend towards stabilization surgery to become more common. Frequent complications in the evolution of fractures in adults such as infection, delayed union and nonunion are much less common in children, although the risk of occurrence of compartment syndrome is an event that requires attention, especially with plaster.

Flexible Intramedullary Nails for Fixation of Adolescent Diaphyseal Tibial Shaft Fractures

“…Tibial shaft fractures are reported ton be the third most commnon long bone fracture in adolescent age group [13,14]. The main goal in treatment of adolescent tibial shaft fractute is to have a healed fractue within adequate alignment parameters and to avoid associated complications such as refracture, compartment syndrome, malunion and infection.…”

Trauma pediátrico: Resultados de um estudo prospectivo em um hospital público terciário

“…Um estudo sobre trauma ortopédico realizado por Cantão et al (2021) realizado em hospital do interior do Pará, obteve resultados compatíveis com o presente estudo. É perceptível que, na faixa etária escolar, a criança começa a provar a independência e interação com ao redor, logo, estão mais expostas à possíveis traumas ortopédicos (Pereira et al, 2013;Santili, et al, 2010) Tais achados são de grande importância, tendo em vista que o trauma ortopédico, no público infantil, pode ocasionar sequelas irreversíveis, com consequência física, social ou psicológica (Cantão et al, 2021)…”

Perfil de crianças submetidas ao tratamento de fratura de antebraço

“…2 It is noted that younger children tend to have a better prognosis because of bone age, thicker periosteum and relative flexibility, resulting in greater stability. 8 In children, the alignment may accept a larger fracture as a function of bone remodeling capacity with growth, and it is also more difficult to elbow stiffness. 9 It is explained that as the bones of the children adhere faster than those of the adults, any residual angular deformity and/or displacement may be acceptable, as the bone grows, it returns to the ideal shape 5 The most common causes of trauma origin are known: these are falls, followed by accidents during sport/physical activity and occur more frequently in summer and less frequently in winter.…”