Patient's question:
Pediatric tibial spiral fracture with displacement, Shanxi Medical University Second Hospital, Department of OrthopedicsDoctor's answer:
Hello, from the X-ray before the plaster fixation, it can be seen that the child has a spiral fracture of the middle and lower part of the left tibia. On the anteroposterior view, there is no obvious displacement of the fracture. On the lateral view, there is slight anteroposterior displacement, but the mechanical alignment is good.After the plaster fixation, the follow-up anteroposterior and lateral X-ray films show slight displacement at the fracture site, but the mechanical alignment is good. This slight displacement is acceptable for a child who is 2 years and 3 months old. After the fracture heals, as the child grows, this displacement will correct itself naturally.
Therefore, continue with the plaster fixation and do not consider surgical treatment. It is recommended to switch to a tubular cast because as the child's pain decreases and the swelling in the lower leg subsides, the child will begin to increase activity. If only a splint is used, the cast will loosen, which may cause further displacement of the fracture. Therefore, it is recommended to switch to a tubular cast.