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August 9, 2025

Paediatric type I open tibia fractures: are antibiotics alone sufficient?

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Authors

RHRobert HammondNMNikhil ManojABAnna Bridgens

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Overview

Systematic review compares infection rates in paediatric patients with type I open tibia fractures treated with antibiotics or debridement, suggesting nuanced treatment approaches.

Key Points

  • Nonoperative management with antibiotics showed an infection rate of 4.87% in children with Gustilo-Anderson type I open tibia fractures.
  • Operative debridement resulted in a lower infection rate of 2.33% for the same type of fractures in paediatric patients.
  • Included studies follow PRISMA guidelines, assessing a total of 123 patients across ten retrospective studies.
  • Current evidence does not support a routine shift from established management guidelines for open tibia fractures in children.

Cite This Study

Hammond et al. (2025) studied this question.

synapsesocial.com/papers/689dfe97d61984b91e13c1eahttps://doi.org/10.1302/2633-1462.68.bjo-2025-0060.r1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Trends in the Use of Antibiotics for Open Forearm Fractures in Pediatric Patients from 2015 to 20232026
  2. 2Management of Pediatric Type III Tibial Shaft Fractures2024
  3. 3Evidence for Systemic Perioperative Antibiotic Prophylaxis for Prevention of Fracture-related Infections Following Open Fractures: Systematic Review and Meta-Analysis of Randomized, Controlled, Clinical Trials2025
  4. 4Why Has the Outcome of Gustilo-Anderson Type III Fracture Not Improved over Two Decades?2024
  5. 5Are We on the Same Page? Defining Consensus for Pediatric Open Fracture Management Among Level 1 Pediatric Trauma Centers2025