The relationship between gait and functional outcomes in patients treated with circular external fixation for malunited tibial fractures. Manjra MA1, Naude J1, Birkholtz F2, Glatt V3, Tetsworth K4, Hohmann E5. Author information Abstract BACKGROUND: Lower extremity fractures have a profound negative effect on a patient’s gait and outcomes. Correction of deformity, and with it normalization of objective gait parameters, may