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* Tibial shaft fractures are common in the pediatric population. * Traditionally, the majority of pediatric tibial fractures have been managed nonoperatively, but surgical rates are increasing. * Management includes closed reduction and casting, flexible nailing, plate osteosynthesis, external fixation, and rigid intramedullary nailing. * Gustilo-Anderson grade-2 and 3 open pediatric tibial shaft fractures have higher complication rates than closed fractures. * The majority of pediatric tibial shaft fractures have excellent outcomes with an expectation for return to full activities.
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Raducha et al. (2019) studied this question.
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