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

: The RUST score exhibits substantial improvements in reliability from previously published scores and produces equally reproducible results among a variety of orthopedic specialties and experience levels. Because no "gold standards" currently exist against which RUST can be compared, this study provides only the initial step in the score's full validation for use in a clinical context.