title: [Update on current care guidelines: treatment of tibial shaft fractures].
abstract: In an update of the Finnish Current Care Guidelines for the treatment of tibial shaft fractures, the recommended treatment of choice is reamed locked nailing, which enables the most rapid functional and vocational recovery. Mini-invasive locked compression plates have become more common for proximal and distal third tibial shaft fractures. For severe open fractures, bone grafting can be applied in cases of up to 6 cm of bone loss. Smokers are strongly advised to stop smoking, due to the increased risk of non-union, and are offered a smoking cessation programme.
mesh_terms: D001860:Bone Plates; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D013978:Tibial Fractures / Q000601:surgery*