Source of Support: None, Conflict of Interest: None
Fortyseven diaphyseal or diaphyseal-metaphyseal tibial fractures in 46 patients were treated by application of long leg groin to toes plaster for 6 weeks, followed by application of plaster gaiter keeping both the knee and ankle joints free for movements. The gaiter was renewed, if necessary, at 6 weekly intervals till union occurred. The treatment was not suitable if there was excessive gap, overriding or rotational deformity of the fragments and angulation at the knee or ankle joints. Treatment was discontinued in delayed union of tibial fracture only if the fibula was intact. The results were excellent in 40 patients (87%) who were treated as fresh cases. The remaining 6 patients (13%) had either prolonged treatment elsewhere or undergone operative treatment. All of them though had less than normal movements at the knee and distal joints, were satisfied with the functional result achieved.