Pediatric Tibial Shaft Fractures Remodeling After Casting

Background and the tibial shaft fracture is the most common long bone fracture in children.this type of fracture has a high capacity for deformity correction, a process known as remodeling.in many circumstances, casting is the choice of treatment.objectives: this study aims to investigate the rate of tibial fracture remodeling after 6 monthsof non-rigid fixation.methods: this research was a retrospective study conducted from march 2017 to march 2018.the study population included 74 children with tibial shaft fracture, treated with a long leg plasterunder general anesthesia. patients were evaluated by obtaining anteroposterior (ap) and lateralview x-rays in the first week, second week, 2 months, and 6 months after casting.results: seventy-four individuals were admitted with a diagnosis of tibial shaft fracture. atotal number of 39 patients (52%)-13 girls and 26 boys- were treated with the long-leg castingunder general anesthesia. the patients’ average age was 7.94±2.69 years (2-14 years). in thesecond week, four cases were excluded. remodeling in the fracture site was significant in apradiography at the end of the second month (p=0.044). six-month follow-up showed that theremodeling in ap was significant (p=0.017) while in lateral was partially significant (p=0.05).conclusion: due to the presence of the growth plate and a dense periosteum, remodeling of thetibial shaft fracture is extremely likely, and the remaining deformity is corrected over time bycasting, and no surgical intervention is required. level of evidence: iv