OTA 2016: Above-knee & below-knee casting similar for pediatric tibial shaft fracture .
Comparison of the Outcome of Above-Knee and Below-Knee Cast for Isolated Tibial Shaft Fractures in Children: A Randomized Trial
60 children (6 months to 15 years) with a closed and Gustilo grade 1/2 isolated traumatic extra-articular middle-third and distal-third tibial shaft fracture were randomized to management with either a below the knee or above the knee plaster of Paris cast. Time to union, residual malunion, range of motion, and associated complications were evaluated over a 6-month period. The results of this trial indicated that time to union and associated complications were similar between groups. Patients in the below the knee group had a significantly greater range of motion.
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