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Summary
A consecutive series of fractures of the tibial shaft was studied over a 4-year period.
A total of 115 fractures in 115 patients were found to be unstable and therefore unsuitable
for immediate treatment in a plaster cast. Sixty-three fractures were treated by internal
fixation using AO dynamic compression plates and 52 patients were treated by calcaneal
traction. The two treatment groups were compared and it was found that overall each
spent a similar time in hospital but the surgically treated group required a minimum
of two admissions. The surgically treated group healed 6 weeks sooner than the conservatively
treated group but there was an overall complication rate of 30 per cent related to
the internal fixation. One hundred and three patients were seen for clinical review,
and the incidence of joint stiffness is discussed.
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References
- Fractures of the tibial shaft: is medical audit possible?.Injury. 1977; 9: 93
- Tibial shaft fractures: a comparison of conservative treatment and internal fixation with conventional plates or AO compression plates.Acta Orthop. Scand. 1977; 48: 204
- Fractures of the tibial shaft.J. Bone Joint Surg. 1964; 46B: 373
- Experience with the dynamic compression plate in 418 recent fractures of the tibial shaft.Injury. 1976; 7: 252
- Results of early and delayed internal fixation for tibial shaft fractures.J. Bone Joint Surg. 1974; 56B: 469
- Plate fixation versus conservative treatment of tibial shaft fractures.J. Bone Joint Surg. 1979; 61A: 873
- Slow union of fractures with a study of 804 fractures of the shafts of the tibia and femur.Br. J. Surg. 1943; 30: 260
Article info
Publication history
Accepted:
July 31,
1985
Identification
Copyright
© 1986 John Wright & Sons Ltd. All rights reserved. Published by Elsevier Inc.
