Aflatooni Justin, George Andrew, Gladstein Aharon Z
Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, USA.
Orthopedic Surgery, Texas Children's Hospital, Houston, USA.
Cureus. 2022 Sep 3;14(9):e28750. doi: 10.7759/cureus.28750. eCollection 2022 Sep.
Tibial shaft fractures have a relatively high incidence in the pediatric population. There are numerous ways to address this trauma including external fixation, plate osteosynthesis, flexible nailing, and closed treatment with the selection of each modality depending on multiple factors, including fracture characteristics as well as potential adverse events. Flexible nailing is a method of treatment at our institution for displaced tibial shaft fractures in patients who are not obese, who are skeletally immature, and whose fractures are not amenable to closed treatment. One of the described complications of this treatment method is an angular deformity. In this case report, we present a valgus recurvatum malunion of a pediatric left open tibia and fibula diaphyseal shaft fracture in a 13-year-old female due to an accidental bicortical perforation of one of the nails without concomitant fixation of the fibula. The purpose of this paper is to present a surgical complication and how to avoid it.
胫骨干骨折在儿童群体中的发病率相对较高。处理这种创伤有多种方法，包括外固定、钢板接骨术、弹性髓内钉固定以及闭合治疗，每种方式的选择取决于多种因素，包括骨折特征以及潜在的不良事件。弹性髓内钉固定是我们机构针对非肥胖、骨骼未成熟且骨折不适合闭合治疗的患者的胫骨干移位骨折的一种治疗方法。这种治疗方法所描述的并发症之一是成角畸形。在本病例报告中，我们呈现了一名13岁女性因一枚髓内钉意外双皮质穿孔且未同时固定腓骨而导致的左小腿胫腓骨骨干开放性骨折外翻后凸畸形愈合。本文的目的是介绍一种手术并发症及其避免方法。
