An open comminuted tibia fracture including a 5 cm tibial bone defect in a child: Successful management using a locking compression plate

Traumatic bone defects (TBDs), although rare in children, are severe injuries that often represents a challenge for both orthopaedic and trauma surgeons. We present a case of a 6-year-old girl who sustained an open (Gustilo-Anderson type II) comminuted tibia fracture including a ± 5.0 cm distal tibi...

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Bibliographic Details
Published inTrauma case reports Vol. 48; p. 100944
Main Authors Hoogervorst, Lotje A., Oudelaar, Bart W., Broekhuis, Demien
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.12.2023
Elsevier
Subjects
Bone grafting
Case Report
Locking compression plate
Paediatric
Surgical management
Traumatic bone defects
Paediatric
Surgical management
Bone grafting
Traumatic bone defects
Locking compression plate
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Summary:Traumatic bone defects (TBDs), although rare in children, are severe injuries that often represents a challenge for both orthopaedic and trauma surgeons. We present a case of a 6-year-old girl who sustained an open (Gustilo-Anderson type II) comminuted tibia fracture including a ± 5.0 cm distal tibial TBD following a road traffic accident. Open reduction and internal fixation with a 3.5 Locking Compression Plate (LCP) without additional bone grafting was performed, followed by cast immobilization for four months. One and a half years after reconstruction, the patient regained pain-free activity including full-range of motion of her leg and radiographs showed good tibial and fibular alignment, the presence of fracture consolidation and sufficient filling of the TBD. This case report aims to show first evidence of the safety and efficacy of single LCP plating followed by cast immobilization applied in a paediatric patient with a large tibial TBD.
ISSN:2352-6440
2352-6440
DOI:10.1016/j.tcr.2023.100944