Abstract
1. One hundred and eighty-one fractures of the tibial shaft were treated by rigid fixation using conventional plates.
2. Comparison is made with series of fractures treated by the closed method.
3. The incidence of non-union, or delayed union requiring a long period of plaster immobilisation, was found to be less with the open method of treatment.
4. Plating was also found to give better functional results with a shorter period of disability except in severe open fractures.
5. Plating is a valuable method of treatment for tibial fractures in the elderly.
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