In a child with a nondisplaced tibial fracture, what is the typical treatment?

• A. Immobilization with a long-leg cast and close follow-up
• B. Surgical fixation
• C. Short leg cast and no follow-up
• D. Physical therapy only

Answer: (A)

In children, nondisplaced tibial fractures are usually treated nonoperatively because kids have strong remodeling potential and healing tends to proceed well with immobilization. A long-leg cast effectively immobilizes the knee, ankle, and leg, keeping the fracture alignment stable during healing and reducing the risk of displacement. Close follow-up is important to monitor healing, check cast integrity, and detect any loss of alignment early so adjustments can be made if needed.

Using a short leg cast and no follow-up would not adequately control movement at the knee and ankle, increasing the chance of displacement or malunion. Surgical fixation is typically reserved for unstable or displaced fractures, fractures failing nonoperative treatment, or other complications. Physical therapy alone wouldn’t immobilize the fracture, delaying healing and risking improper alignment.