The Journal of Bone and Joint Surgery, Vol 59, Issue 2 240-243, Copyright © 1977 by Journal of Bone and Joint Surgery, Inc
Ipsilateral fracture of the femur and tibia
G Karlstrom and S Olerud
Thirty-two cases of simultaneous ipsilateral femoral and tibial fractures
in thirty-one patients were treated by rigid internal or pin fixation of
both fractures in fourteen cases, by rigid internal or pin fixation of one
fracture in three, and by conservative management or non-rigid internal
fixation in fifteen. Rigid internal or pin fixation of both fractures
resulted in a lower incidence of complications and shorter duration of
hospitalization and time to healing. An initially active surgical approach
also produced considerably better functional end results: twelve of
fourteen patients so treated resumed their former occupations, compared
with four of thirteen patients treated conservatively.