Fractures of the Tibia and Fibula Treated by Casts and Transfixing Pins

Abstract
SUMMARY In a series of 250 severe fractures of the tibia and fibula, Steinmann pins or Kirschner wires were inserted through the tibia above and below the fracture, and incorporated into a long leg cast. When the initial cast was changed at 5 to 8 weeks, and pins were removed, a long leg walking cast was applied. Of the 208 fractures that we followed adequately, 198 united. There were 5 delayed unions and 5 non-unions. The method prevented excessive shortening and angulation in unstable fractures, especially in those that were severely comminuted or segmental, as well as eliminated the risks of open reduction and internal fixation.

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