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Gustilo III, obese patient (these conditions preclude the use of a brace) or [fracture configuration] i.e. pathological fracture, segmental fracture. 2) Associated injuries : poly-trauma (for general care, ambulation, use of crutches), bilateral
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fractures are therefore minimally displaced and can be managed by early mobilization with the expectation that they will heal and leave remarkably little in the way of dysfunction, 3 – 5 though the outcome may be somewhat less favourable in polytrauma