We have surgically treated 52 fresh fractures and 16 delayed or non-union fractures of the tibia and fibula in 42 men and 26 women between 1976 and 1987. An a verage age was 45 years ald. The former included 22 malleoli, 20 tibial shafts, 8 tibial condyles and 2 tibial tuberosities, and the latter 8 tibial shafts, 7 malleoli and one tibial condyle. Osteosynthesis materials, chiefly used in both of these cases were plates for tibial shafts, screws and tension band wiring methods for malleoli and

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... tibia bolts for tibial condyles, Bone transplantation was used in 23 cases which were 15 fresh cases and 8 delayed or non-union cases. The result was that bony unions were obtained in all cases but two. One with arterial injury underwent amputation 7 days after osteosynthesis, and another remained as it was delayed union at the period of 11 months after synthesis for non-union. We discussed on the surgical treatments and results of the tibial and fibular fractures.