We hope that children treated with a removable walking boot will still be able to achieve good pain control while their injury is healing. As a result, in children with toddler's fractures, we will compare the traditional treatment of cast placement to a removable walking boot with respect to how each immobilization strategy controls pain and how quickly children return to their usual activities. But, in order to be sure that the removable walking boot works as well as a cast in these fractures, we need to do a well-designed study to make sure we consider all the important aspects of making this change. Since this fracture recovers so well, patients can see their family doctor to make sure their child is returning to activity as expected and have their questions about recovery answered. Further, families do not necessarily need to return to a bone doctor for cast changes or x-rays or reassessment. This makes caring for the child much easier and allows the child to return to activities when the child is ready.
This type of device can be taken off as needed by the parent and child and used only as long as the child needs it to manage the pain that results from this stable fracture. And so, increasingly, some doctors are choosing to manage these stable fractures with a supportive device on the lower leg, a removable walking boot. The needless excess costs of the current management strategy in Canada alone can be estimated to be about 1.8 million dollars annually.
#Tibial spiral fracture in children skin
Further, casting can cause harm such as skin irritation or poor cast fit which may result in problems that are more distressing than the fracture itself. However, none of these things has ever been shown to change the way these young children's fractures heal. This cast management then also includes about two to three repeat visits to see a bone doctor, where the cast is often changed and new x-rays are taken with each visit.
#Tibial spiral fracture in children full
Despite this, most children with this fracture are managed in a restrictive full circular cast, often including the entire leg, for three to six weeks. The good news is that these fractures are stable injuries and heal exceptionally well, without any reported concerns for problems in the future. In Canada and the United States there are about 80,000 cases per year that present to emergency departments. It is one of the most common injuries of the leg in this age group.
It usually happens when a young child twists the leg while running or jumping.
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