J Korean Orthop Assoc.  1981 Sep;16(3):628-634. 10.4055/jkoa.1981.16.3.628.

The Treatment of Tibial Shaft Fracture with Total Contact Short Leg Cast

• Kang JD
• Kim CU
• Lee DT

• KMID: 2450658
• DOI: http://doi.org/10.4055/jkoa.1981.16.3.628

Abstract

The incidence of tibial fracture is increasing due to increasing tendency of traffic and industrial accidents. In general, the tibial fracture is treated with closed method but it is difficult because of its anatomical cbaracteristics. We have been treated tibial fractures with total contact short leg cast which supports the 7 points such as tibial condyle, tuberosity, margo anterior, medial malleolus, fibular head, lateral malleolus and heel rigidly and molding it as trangiular shape like the tibia using both palms and fingers The advantages of this cast sre to prevent rotation, to promote osteogenesis with early weight bearing and to prevent ankylosis of knee joint. In fact, the sverage healing time was 14weeks Rotation, nonunion, angulation ove cast sore, nerve injury were not noticed and the shortening was 4. 1mm in closed fractures, 5. 3mm in open fractures.

Keyword

Total contact short leg cast

MeSH Terms

Accidents, Occupational
Ankylosis
Fingers
Fractures, Closed
Fractures, Open
Fungi
Head
Heel
Incidence
Knee Joint
Leg*
Methods
Osteogenesis
Tibia
Tibial Fractures
Weight-Bearing