Abstract
The tibial shaft fractures are 60% among all long bones fractures. The treatment is still most important problem of modern traumatology. The innovated method of combined osteosynthesis of the tibia by screws and external fixation apparatus allows to optimise biomechanical conditions of consolidation and to carry out functional rheabilitation during early postoperative period. The performed biomechanical researches have shown reliability of this kind of fixation. The method was applied at the treatment of 54 patients. The good functional results were achieved in 100% of patients. The assesment was based on clinical findings, X-ray picture pattern. Complications were not observed in any case.