Open reduction and internal fixation of tibial shaft fracture

The middle 1/3 of the tibia is weak, and most fractures occur in this area. The blood flow outside the border of the middle and lower tibia is poor, and delayed or non-union is prone to occur after surgery. The tibia is superficial, and most fractures are suitable for manual reduction and external fixation; only a few fractures that have failed closed reduction or cannot be reduced, or fractures that have been displaced after reduction (such as late medical treatment, spiral or long bevel fractures) and nerves Fractures with damaged blood vessels require surgery.