[Considerations on the treatment of fractures of the proximal end of the tibia (author's transl)].

The authors discuss the treatment of fractures of the proximal end of the tibia with special attention to the relative merits and limitations of nonsurgical versus surgical procedures. In this respect the clinical material accumulated at the Istituto Ortopedico G. Pini of Milan affords a fruitful comparison of the two therapeutic approaches. More precisely, while the differences are not so dramatic as to favor one approach over the other in all cases, it appears evident that surgical aggression by suitable methods and in properly selected cases affords markedly shorter periods of immobilization and more rapid functional recovery.