Tibial Shaft Fracture with Bone Loss

  • Marielle Amoli
  • Jeffrey R. Sawyer
Living reference work entry


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.

References and Suggested Readings

  1. Al-Sayyad MJ (2006) Taylor spatial frame in the treatment of pediatric and adolescent tibial shaft factures. J Pediatr Orthop 26(2):164–170CrossRefPubMedGoogle Scholar
  2. 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):627–634CrossRefGoogle Scholar
  3. 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):273–279CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryNemours Children’s ClinicJacksonvilleUSA
  2. 2.Department of Orthopedic Surgery & Biomedical EngineeringUniversity of Tennessee – Campbell ClinicMemphisUSA
  3. 3.LeBonheur Children’s HospitalMemphisUSA

Section editors and affiliations

  • Eric D. Shirley
    • 1
  1. 1.Pediatric Orthopaedic AssociatesAltantaUSA

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