Proximal tibial fractures are infrequent injuries in children, and the literature on epidemiology, associated injuries, and management is limited.

We calculated a population-based incidence and described the characteristics of proximal tibial fractures in children in terms of complications and management.

Patients and methods: This is a retrospective study over a 6-year-period during including 241 children with proximal tibial fractures who presented to our university hospital.

Demographic and fracture-related data was collected from the Kids' Fracture Tool.

The number of children during the study period was collected from statistical yearbooks of the City of Helsinki to estimate annual incidence.