Thirty two of 103 cases required nailing at a mean of 9days following injury. Two patients in this group and three in the non operative group went on to have a non union.2 Union rates were faster with intramedullary nailing compared with conservative treatment median values were 12.5 and 14.5weeks, respectively (p2 Digby et al3 also found that non operative treatment for tibial fractures in the metaphyseal region leads to unacceptable deformity and ankle stiffness. Therefore, non operative treatment is not the treatment of choice in the majority of patients with a fracture of the distal tibia..
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