Our Purpose is to present the results of treatment of 35 (thirty five) comminuted fractures of the diaphyses of Tibia and Fibula with combination of Orthofix External Fixator and Sarmiento Brace.

In Syros General Hospital, during the last 8 (eight) years, 35 (thirty five) comminuted fractures of the Diaphyses of Tibia and Fibula were treated.

Twenty were closed and 15 (fifteen) compound. Five were type 1, 8 (eight) type 2 and 2 type 3 Gustilo.

Our Method : After a good surgical cleaning all fractures were reduced and stabilized with Orthofix External Fixator. We used two pins above and two pins below the fracture.

According to the union of the fracture, we allowed partial weight bearing with dynamization.

In three months the External Fixator was removed and a Sarmiento Brace was put.

With the Brace we allowed full weight bearing until the fracture was united.

Results: All fractures united. It took five months for the close and six months for the compound. There was no displacement in any fracture. In four fractures we had pin infection that was cured with antibiotics and lack of weight bearing for 15 days.

Conclusion : Comminuted fractures of Tibia are a challenge for every Orthopaedic Surgeon. We believe that the combination of those two methods that are simple and safe solve the treatment of those difficult fractures.