Broken Bones :: Tibia Options

I broke my fib and tib on January 22nd, nearly 23 weeks ago. The fracture was treated conservatively, in a long leg cast for 6 weeks. After 1 week, x rays showed angulation, and wedges were applied in the cast. This seemed to be successful, as there is no evidence of malunion. After 6 weeks, a sarmiento cast was applied and 50% weight bearing initiated. At 12 weeks, x rays showed healing was being slow and after a further 4 weeks in a second sarmiento cast, at 16 weeks, although there had been some growth, it was deemed necessary to have a further 4 weeks in a Miami cast. At 20 weeks, the registrar was of the opinion that healing was still no adequate, and a CT scan is being arranged. Options suggested if there is evidence of delayed healing, are: bone stimulator or bone graft.

There is no pain on standing although there are some occasional twinges over the fracture when walking. Weight bearing has now been increased on advice, to 70%. I always use a walker.