An experimental method of treating tibial fractures with use of the
below-theknee total-contact weight-bearing cast is discussed. The success of
this method appears to depend on the careful application and molding of
plaster to the fractured leg after the swelling has been reduced to a minimum
and a closed reduction has been obtained. Good alignment is essential, but
slight shortening or overriding of fragments can be accepted with the
expectation that little or no increase in the amount of shortening will occur.
The results obtained indicate that this type of cast not only holds reduction
well but also permits healing of tibial fractures in a relatively short period
of time. The maintenance of the limb in a near physiological condition
throughout the entire reparative process is offered as an explanation for
rapid healing. Treatment of tibial fractures by this method offers the
advantages of retaining functional activity of the extremity during healing
and eliminating the need for extensive rehabilitation of the knee and thigh
muscles after healing has occurred.