Abstract ： Majority of the paediatric tibial fractures can be managed by non-operative method. For those due to high energy trauma, surgical treatment is more preferable because these fractures are often unstable and complicated with open wounds. Our objective is to determine the outcome of tibial fractures treated by external fixation in our centre. To identify the complications, and to correlate any risk factors associated with the complications.There were a total of119 tibial fractures identified. Among the 75 tibial diaphyseal fractures, 9 cases were treated surgically. 7 of the 9 operated cases were treated with external fixation. The average injury severity score was 8.25. The average operation time was125 minutes. Patients average hospital stay was 32.8 days. The average time for removal of the external fixator was 4.3 months. Our average FU time was 22 months. There were no significant leg length discrepancies (>10 mm), malunion (>10deg), delayed union, or non-union found. We had 2 cases of minor pin tract infections.External fixation is a useful treatment modality in high-energy tibial fracture in paediatric patient There is alow incident rate of long term complication in our centre. Our patients did not report any significant unpleasant experience or inconvenience concerning the usage of an external fixator. It remains as a good method of treatment for our paediatric population.
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