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Current Trends in Treatment of Tibial-Shaft Fractures

JAMES W. MILLER, M.D.; FREDERICK N. REED, M.D.
AMA Arch Surg. 1957;75(6):1043-1048. doi:10.1001/archsurg.1957.01280180175028.
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Introduction and General Considerations  It is estimated that the American people sustain approximately 2,000,000 fractures yearly. These injuries, which include a significant number of tibial-shaft fractures, are treated by general practitioners and general surgeons, as well as orthopedists.1 It is timely, then, that they be discussed at this Clinical Meeting. It is the purpose of this paper to report our 10-year experience, i. e., from 1946 to 1956, with 71 tibial-shaft fractures. The area involved is shown in Figure 1. Fractures of the knee and ankle are not included in this analysis. It has been said by some that it requires less skill to carry out an open reduction upon the tibia, and that for the occasional fracture surgeon it is prudent to follow the more radical form of treatment.2 We are not in agreement with this concept, and we shall describe in some detail our method of

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