In our years of experience as orthopaedic trauma implants manufacturers, it has become quite clear and known to us that the role of fracture bracing of tibial fractures is mainly in the management of closed fractures. The most common type of such fracture that we encounter is generally those resulting from low-energy injuries. 

Neither we nor our orthopedic implants India specialist have ever advocated early use of orthopedic implants braces in the management of open tibial fractures. We promote the use of bracing only after a few weeks of stabilization and use of above-the-knee casts. 

Once these injured soft tissues heal, braces can be readily implemented clarifies our ortho surgical implants expert. Still, under these circumstances, it is important to consider that the incidence of angular deformities and excessive shortening has been higher than other cases of closed fractures treated with the same methods.

With more and more refinements in the orthopaedic implants and instruments techniques, intramedullary fixation measures of tibial fractures have become the more desirable method of treatment for open fractures of the tibia except in cases where extensive soft tissue pathology is present. This is the preferred method of treatment by orthopedic surgical instruments experts for open tibia currently. 

Bracing of open fractures is held in reserve for those patients or cases with least soft tissue injury or for those injuries resulting from low-impact gunshot wounds.
Our experience with Delta Tibia / Femur Nailing System and intramedullary nailing under the mentioned circumstances has been most rewarding.

This case study dealing with our experience with orthopedic instruments and the bracing of open tibial fractures is mentioned simply to help people and physicians around the world to understand the behavior of open fractures under functional bracing. We would like to thank the effort of our ortho surgical implants experts for providing us the information. In the end, we would like to conclude on the note that we do not believe that functional bracing has a major role to play in the management of fractures and Interlocking intramedullary nailing constitutes is still the treatment of choice in most cases.