Clinical Pathways promote evidence-based, safe, and high-value care for patients by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by a methodical review of available evidence and consensus among committee members.
The Toddler Tibia Fracture Synopsis provides a high-level overview of the care standards employed for this Clinical Pathway.
Algorithms associated with this Clinical Pathway:
Inclusion and exclusion criteria
- Patients aged 1 to 4 years.
- Stable tibial shaft or distal tibia fracture, defined as:
- No cortical displacement.
- No fracture shortening.
- No angulation.
- No malrotation.
- Intact fibula.
- Can be spiral or buckle fracture pattern.
- Patients with multisystem trauma.
- High energy mechanism.
- Non-accidental trauma.
- Multiple fractures.
- Metabolic bone disease.
- Any amount of cortical displacement.
- Any amount of fracture shortening.
- Any amount of angulation.
- Reduction required.
- Associated fibula fracture.
Committee members involved in the development:
- M. Sinclair, MD | Orthopedic Surgery | Committee chair
- C. Grote, MD, PhD | Orthopedic Surgery | Committee Member
- P. D. Souza, MD| Urgent Care | Committee Member
- L. Patel, MD | Emergency Department | Committee Member
- A. Patel, MD, FAAP | Emergency Department | Committee Member
- E. Weber, MD | General Academic Pediatrics | Committee Member
- B. Haney, BSN, RN, CWCN, WTA-C | Wound Care | Committee Member
- T. Glenski, MD, MSHA, FASA | Department of Evidence Based Practice | Committee Member
- J. Dusin, MS, RD, LD, CPHQ | Department of Evidence Based Practice | Committee Member
- Finalized date: May 2022
- Next expected revision date: May 2025
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