We prospectively studied 64 patients with fracture shaft tibia, 23 patients with closed tibial fracture and 41 patients with open type. All fractures were stabilized by external fixation device AO/ASIF type after failed manipulation under anesthesia (MUA) to restore the osseous alignment. In 28 patients cancellous bone graft were used after the upper part of the tibia to enhance healing process, all these patients were followed for an average of 8-12 months.
Our findings showed that stabilization of the fracture shaft tibia by external fixation with cancellous bone graft had significantly better results, than external fixation alone.
The use of external fixation device with bone graft, is safe, effective, cheap and available in almost all orthopaedic units n Iraq.