Two-level fractures of the tibia: indications for surgery.

The authors report 35 cases of two-level fracture of the tibia emphasizing the problems related to surgical treatment and local complications. Based on the results obtained, they propose several different methods according to precise indications: 1) for closed fractures or those with grade I exposure: internal fixation; 2) for grade II and III open fractures: external fixation and any necessary complementary surgical procedures.