Major fractures of the tibia and fibula represent an increasingly important part of the work of the orthopedic surgeon. The majority of such cases seen today follow traffic accidents. The "bumper" fracture of the knee, so common a few years ago, has been replaced by a fracture of both bones below the knee, as the result of changes in automobile design. These fractures are usually badly comminuted and displaced and there is severe damage to the soft tissues. They are often compounded by direct force, and dirt is driven deeply into the wound.
The usual methods of treatment having been shown inadequate to deal with the large number of such cases admitted to the Louisville City Hospital in the last few years, it seemed desirable sometime ago to adopt newer procedures. The objectives sought were (1) accurate anatomic reduction and firm fixation to insure the best anatomic and functional result,
GRISWOLD RA. FRACTURE OF BOTH BONES OF THE LEGTREATMENT BY A MODIFIED BOEHLER METHOD WITH A NEW APPARATUS. JAMA. 1935;104(1):35–40. doi:10.1001/jama.1935.02760010037007