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Tibial Shaft Fracture with Bone Loss

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Pediatric Orthopedic Trauma Case Atlas

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Abstract

A 12-year-old presented with a grade 3B open tibial fracture, bone loss, and a pulseless left lower extremity after he was struck by a car while riding his all-terrain vehicle (ATV). Multiple irrigation and debridements were done and a monolateral external fixator was applied. This was eventually converted to a circular fixator for bone transport, and his tibia healed with a leg-length discrepancy, which was treated with magnetically controlled lengthening at skeletal maturity.

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References and Suggested Readings

  • Al-Sayyad MJ (2006) Taylor spatial frame in the treatment of pediatric and adolescent tibial shaft factures. J Pediatr Orthop 26(2):164–170

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  • Buckly SL, Smith GR, Sponseller PD, Thompson JD, Robertson WW, Griffin PP (1996) Severe (type III) open fractures of the tibia in children. J Pediatr Orthop 16(5):627–634

    Article  Google Scholar 

  • Tafazal S, Madan SS, Ali F, Padman M, Swift S, Jones S, Fernandes JA (2014) Management of paediatric tibial fractures using two types of circular external fixator: Taylor spatial frame and Ilizarov circular fixator. J Child Orthop 8(3):273–279

    Article  PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Nemours Children’s Clinic, Jacksonville, FL, USA

    Marielle Amoli

  2. Department of Orthopedic Surgery & Biomedical Engineering, University of Tennessee – Campbell Clinic, Memphis, TN, USA

    Jeffrey R. Sawyer

  3. LeBonheur Children’s Hospital, Memphis, TN, USA

    Jeffrey R. Sawyer

Authors
  1. Marielle Amoli
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  2. Jeffrey R. Sawyer
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Corresponding author

Correspondence to Marielle Amoli .

Editor information

Editors and Affiliations

  1. Ohio State University, Nationwide Children’s Hospital Ohio State University, Columbus, Ohio, USA

    Christopher Iobst

  2. Department of Orthopedic Surgery, Nemours Children's Hospital, Orlando, Florida, USA

    Steven L. Frick

Section Editor information

  1. Pediatric Orthopaedic Associates, Altanta, GA, USA

    Eric D. Shirley

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© 2018 Springer International Publishing AG

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Amoli, M., Sawyer, J.R. (2018). Tibial Shaft Fracture with Bone Loss. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_128-1

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  • DOI: https://doi.org/10.1007/978-3-319-28226-8_128-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28226-8

  • Online ISBN: 978-3-319-28226-8

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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