Executive Editor: Peter Trafton

Authors: Raymond White, Matthew Camuso

Tibial shaft Simple fracture, transverse

General considerations

42-A3

Transverse fractures are typically due to high energy forces. The risk of displacement, angulation, and slow healing is increased. Associated fibular fractures increase instability.
If available, closed intramedullary nailing, or occasionally plate fixation are often preferable to nonoperative treatment. If a satisfactorily aligned closed reduction is obtained, angulation can usually be controlled in a cast, so that this option is worth considering.

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v2.0 2012-05-13