Development of the Radiographic Union Score for Tibial Fractures for the Assessment of Tibial Fracture Healing After Intramedullary Fixation

BACKGROUND: : The objective was to evaluate the newly developed Radiographic Union Score for Tibial fractures (RUST). Because there is no "gold standard," it was hypothesized that the RUST score would provide substantial improvements compared with previous scores presented in the literature. METHODS: : Forty-five sets of X-rays of tibial shaft fractures treated with intramedullary fixation were selected. Seven orthopedic reviewers independently …