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Complications of tibial shaft fractures.

Complications that compromised the final result developed in two-thirds of 36 patients with 38 fractures of the tibial shaft. Complications may stem from the severity of the original injury or from the management of the fracture. Late complications, e.g., delayed union, nonunion, and chronic infection, tend to be more serious than early complications. The most complicated tibial shaft fractures are open fractures. Closed methods offer a better chance of avoiding severe complications. Whether the fracture is closed or open, meticulous attention to detail is necessary if complication rates in tibial shaft fractures are to reach an acceptable level.