Biological fixation of metaphyseo-diaphyseal fractures of long bone

Forty cases of fracture of the proximal or distal metaphases of the femur or tibia with or without diaphyseal extension but not extended to the joints were treated using indirect reduction of the fracture and biological fixation. There were 23 femoral fracture and 17 tibial fractures. After mean follow up of 19 months, bony union was achieved without any mechanical failure in all patients except two, three cases had delayed union and required bone grafting