Table 4.
The proposed methods of treatment in different patterns of tibial shaft fractures.
| Fractures | First choice | Second choice | Third choice |
|---|---|---|---|
| Closed | |||
| With butterfly | IMR | – | – |
| Comminuted | PLT | INT | – |
| Oblique | IMR | INT | PLT |
| Segmented | INT | – | – |
| Spiral | INT | PLT | – |
| Transverse | IMR | PLT | INT |
| Open | |||
| With butterfly | IMR | INT | – |
| Comminuted | INT | IMR | PLT |
| Oblique | IMR | PLT | INT |
| Segmented | INT | EF | PLT |
| Spiral | – | – | – |
| Transverse | IMR | INT | PLT |
INT – Interlocking intramedullary nailing; IMR – Intramedullary rods; PLT – plate and screws; EF – external fixation.