Fractures of the shaft of the tibia are notoriously difficult to treat. A study of the patients treated at Severance Hospital, Yonsei University Medical Center in Korea over a twelve year period supports this view.
A review of the literature revealed that other centers had also recognized the difficulties inherent in the treatment of fractures tibias, and were facing the same problems.
The results of three hundred and one fractures among three hundred patients(218 male and 82 female) were as follows:
1. The healing rate of fractures of the tribia was accelerated in childhood and adolescence, but there was no difference in other age groups.
2. The incidence of delayed or non-union of fractures of the lower 1/3 of the tribia was no greater than that of the middle 1/3, but it was increased in fractures of the upper 1/3 of the tibia.
3. Open fractures of the tibia united than close fractures.
4. There was no significant difference in the union rate between different types of fractures except for an increased incidence of delayed or non-union in segmental fractures.
5. The rate of delayed or non-union way increased to a surprising degree in markedly displaced fractures.
6. There was a decreased rate of union in cases of associated fibula fractures.
7. Early weight bearing of the fracture was helpful in fracture union, especially in the tibia.
8. The overall incidence of delayed or non-union of fractures of the tibia was 28.57%, with limited joint moti in 5.9% of the total.