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The Significance of Fibular Fractures on TibialShaft Fractures by Kiyoyuki Torigoe, Youshi Kamo, Shigeharu Nomura, Hirofumi Chosa, Masayuki Maekawa, Yoshiaki Ueda, Fumitoshi Ihara, Ginichirou Tokuhisa and Tetsu Murao Department of Orthopaedic Surgery, Kyushu Rousai Hospital, Fukuoka, Japan We investigated how fibular fractures, fracturedislocations at the ankle joint and infective cases. We examined 137 cases, and divided them into groups according to age, type, position, open or closed cases, and therapy, excluding bone graftand pseudarthrosis. We radiographically determined periods of bone healing from the time of surgery to the time when the fracture site could bear partial weight without internal fixation. Results showed that the presence of fibular fractures shortened the period of bone healing. We are sure dynamization will contribute to bone healing.

1. Wu C C, Shih C H. A small effect of weight healing in promoting fracture healing. Acta Orthop Trauma Surg 1992 (112) 28-32. 2. Goodship A E, Kenwright J. The influence of inducued micromovement upon the healing of experimental tibial fractures. J Bone Joint Surg (Br) 1985 ; 67 (4) 650-5. 3. Gregory M G, Glenn J M, Berton R M. Effect of dymanization after interlocking tibial nailing : An experimental study in dogs. J Ortho Trauma 1990; 4 (3) 323-330. 4. Grundnes O, Reikeras O. Blood flow and mechanical properties of healing bone. Femoral osteotomies studied in rats. Acta Orthop Scand 1992 ; 63 (5) 487-491. 5. Grundnes O, Reikeras O. Effects of instability on bone healing. Femoral osteotomies studied in rats. Acta Orthop Scand 1993 ; 64 (1) 55-581. 6. Rand J A, An K N, Chao E Y, Kelly P J. A comparison of the effect of open intramedullary nailing and compression plate fixation on fracture site blood flow and fracture union. J Bone Joint Surg (Am) 1981; 63 (3) 427-42. 7. Reikeras 0. Healing of osteotomies under diffent degrees of stability inrats. J Ortho Trauma 1990 ; 4 (2) 175-8.