Fractures of the Middle Two-Thirds of the Tibial Shaft

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Abstract
1. A consecutive series of 200 cases of tibial-shaft fractures was studied on a prospective basis. 2. The same atraumatic method of treatment was used in all cases, and the patients were followed until well after union had occurred. 3. The use of a plaster-of-Paris gaiter in the final stage of healing enabled early rehabilitation and minimized the risk of residual limitation of movement in the neighboring joints. 4. There were only twenty-four (12 per cent) delayed unions and a single case of non-union (0.5 per cent) in this series. 5. Perfect clinical recovery was observed in 90 per cent of the patients. 6. The final roentgenograms showed residual step-off deformity in forty-seven patients (23.5 per cent), but this had no bearing on the functional end results, with the exception of one patient. 7. Closed treatment in its simplest form is a very reliable method for tibial-shaft fractures.

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