Incidence of Open Tibial Fractures in Children and Adolescents
An Observational Retrospective Study
DOI:
https://doi.org/10.48112/acmr.v4i2.51Keywords:
Pediatric, Orthopedic, Tibial, FractureAbstract
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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.
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