Incidence of Open Tibial Fractures in Children and Adolescents

An Observational Retrospective Study




Pediatric, Orthopedic, Tibial, Fracture


Abstract Views: 58

Tibial fractures in children are a common orthopedic injury that can lead to significant morbidity and functional impairment. This study aimed to investigate the incidence, associated factors, treatment methods, and post-treatment complications of open and closed tibial fractures in children within a Bangladesh population. This retrospective observational study was conducted at the Department of Orthopedics, DSK Hospital, Dhaka, Bangladesh, including 500 valid hospital records of pediatric tibial fractures treated between 2019 and 2021. The study itself was completed within 1 year, from January to December of 2022. Data was collected and analyzed using SPSS version 25 software. Closed fractures were more common than open fractures (91.46% vs. 8.54%). The incidence of fractures was highest in the 13-18 years age group. Road traffic accidents were the most common cause of open fractures (58.70%), while falls from height were the predominant cause of closed fractures (60.13%). Surgical treatment was more frequent in open fractures (95.65%) compared to closed fractures (72.25%). Open fractures had a higher incidence of wound infection (6.52%) and delayed union (17.39%) compared to closed fractures (2.64% and 7.71%, respectively). This study highlights the importance of timely intervention and appropriate management of pediatric tibial fractures, particularly in the case of open fractures, to minimize complications and improve patient outcomes. Further research and prevention strategies are needed to reduce the incidence of pediatric tibial fractures and improve long-term outcomes.


Landin LA. Epidemiology of children's fractures. J Pediatr Orthop B. 1997;6(2):79-83. doi: 10.1097/01202412-199704000-00002.

Hedström EM, Svensson O, Bergström U, Michno P. Epidemiology of fractures in children and adolescents. Acta Orthop. 2010 Feb;81(1):148-53. doi: 10.3109/17453671003628780.

Islam MS, Islam SS, Parvin S, Manjur M, Islam MR, Halder RC, et al. Current pathogens infecting open fracture tibia and their antibiotic susceptibility at a tertiary care teaching hospital in South East Asia. Infect Prev Pract. 2022;4(1):100205. doi: 10.1016/j.infpip.2022.100205.

Tahir M, Ahmed N, Shaikh SA, Jamali AR, Choudry UK, Khan S. Delay in Initial Debridement for Open Tibial Fractures and Its Possible Impact on Patient Outcomes: A Single-Center Prospective Cohort Study. JB JS Open Access. 2021;6(1):e20.00027. doi: 10.2106/JBJS.OA.20.00027.

Joeris A, Lutz N, Wicki B, Slongo T, Audigé L. An epidemiological evaluation of pediatric long bone fractures - a retrospective cohort study of 2716 patients from two Swiss tertiary pediatric hospitals. BMC Pediatr. 2014;14:314. doi: 10.1186/s12887-014-0314-3.

Cooper C, Dennison EM, Leufkens HG, Bishop N, van Staa TP. Epidemiology of childhood fractures in Britain: a study using the general practice research database. J Bone Miner Res. 2004;19(12):1976-81. doi: 10.1359/JBMR.040902.

Rennie L, Court-Brown CM, Mok JY, Beattie TF. The epidemiology of fractures in children. Injury. 2007;38(8):913-22. doi: 10.1016/j.injury.2007.01.036.

Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976;58(4):453-8.

Museru LM, Mcharo CN. The dilemma of fracture treatment in developing countries. Int Orthop. 2002;26(6):324-7. doi: 10.1007/s00264-002-0408-7.

Flynn JM, Jones KJ, Garner MR, Goebel J. Eleven years experience in the operative management of pediatric forearm fractures. J Pediatr Orthop. 2010;30(4):313–9.

Sinikumpu JJ, Lautamo A, Pokka T, Serlo W. The increasing incidence of paediatric diaphyseal both-bone forearm fractures and their internal fixation during the last decade. Injury. 2012;43(3):362-6. doi: 10.1016/j.injury.2011.11.006.

Nandra RS, Wu F, Gaffey A, Bache CE. The management of open tibial fractures in children: a retrospective case series of eight years' experience of 61 cases at a paediatric specialist centre. Bone Joint J. 2017;99-B(4):544-553. doi: 10.1302/0301-620X.99B4.37855.

Slongo TF, Audigé L; AO Pediatric Classification Group. Fracture and dislocation classification compendium for children: the AO pediatric comprehensive classification of long bone fractures (PCCF). J Orthop Trauma. 2007;21(10 Suppl):S135-60. doi: 10.1097/00005131-200711101-00020.

Slongo T, Audigé L, Schlickewei W, Clavert JM, Hunter J. Development and validation of the AO pediatric comprehensive classification of long bone fractures by the Pediatric Expert Group of the AO Foundation in collaboration with AO Clinical Investigation and Documentation and the International Association for Pediatric Traumatology. J Pediatr Orthop. 2006;26(1):43-9. doi: 10.1097/

Rodríguez-Merchán EC. Pediatric skeletal trauma: a review and historical perspective. Clin Orthop Relat Res. 2005;(432):8-13.

C L O, M M, N M J. Controversies in the management of open fractures. Open Orthop J. 2014;8:178-84. doi: 10.2174/1874325001408010178.



How to Cite

Rahman, K. (2023). Incidence of Open Tibial Fractures in Children and Adolescents: An Observational Retrospective Study. Advances in Clinical Medical Research, 4(2), 01–05.