J Korean Orthop Assoc.  1969 Dec;4(4):55-59. 10.4055/jkoa.1969.4.4.55.

Clinical Observations on Fractures of the Shaft of the Tibia with Special Reference to Delayed Union and Nonunion

Abstract

1. One hundred ninety cases of fractures of the shaft of the tibia treated at the 3rd Army Hospital during the period from January 1968 to July 1969, were analyzed. 2. Twenty eight cases revealed delayed union and nonunion, in which ten involved the lower third of the shaft, five the middle third, and three the upper third of the titial shaft. a) Continued cast immobilization was employed in seven of the delayed union cases for three months. b) Metal plate and screw fixation and bone graft was employed in fifteen cases and in three cases bone graft was employed. c) Tumbling skin graft and Huntington's operation were employed in one case and sequestrectomy and split skin graft were employed in two cases. d) In one case amputation was performed. e) The result of treatment of delayed union and nonunion of the tibia was revealed good union in twenty one cases, delayed union in four cases, nonunion in one case and amputation in one case.

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