The ortho-plastic management of Gustilo grade IIIB fractures of the tibia in children: A systematic review of the literature.

"The challenges of managing Gustilo IIIB tibial fractures in children are unique. A multi-disciplinary, evidence based approach is needed. We aimed to evaluate the evidence for the ortho-plastic management of Gustilo grade IIIB open tibial shaft fractures in children based on a review of all published data in order to rationalise the orthopaedic and plastic surgical approach to these complex injuries." 

This article talks about how children are the very first affected people speaking about fractures, especially the tibial ones since it is common to have accidents while playing.

As the fracture is in children, their bones are not totally developed and its pretty easier to recoger fastly from surgery. But, we should not be that confident, like other patients, the child must be our priority.

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-Abstract taken from: http://eds.a.ebscohost.com/ehost/detail/detail?vid=9&sid=82048100-627d-4e55-ad81-737d6e5afe2b%40sessionmgr4004&hid=4208&bdata=Jmxhbmc9ZXMmc2l0ZT1laG9zdC1saXZl#db=afh&AN=43310720

-Photo from: http://www.orthopaedicsurgeon.com.sg/fractures-tibia-fibula/