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Knee manipulation under anesthesia
2%
27/1153
Cast immobilization and use of a bone stimulator
4%
48/1153
Unilateral external fixation
1%
11/1153
Intramedullary nailing
17%
200/1153
Compression plating
75%
861/1153
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At 9 months, observation is no longer an option, as the fracture is not healing and is adjacent to a arthrofibrotic joint. Plate osteosynthesis has been shown to be an effective method of treatment for patients who have had an open fracture of the tibia that has failed to unite after external fixation and/or immobilization in a cast. Wiss et al reported a series of fifty tibial non-unions with a similar clinical scenario. He reported that, with compression plating, 92% of the nonunions healed without further intervention. In their study, 39/50 patients, had autogenous bone grafting in addition to compression plating.
3.2
(29)
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