Tibia-fibula Fractures (Shin Bone Fractures)

Tibia-fibula fracture (THIGH FRACTURE)

Tibia and fibula bones between the knee and the ankle bone structure of the form of the calf. There is no calf muscles, especially around the front part of the tibia and soft tissue cover is very thin. At the front of the thigh bone, the tibia is felt by hand. For this reason, the calf from direct trauma of soft tissue injuries and open fractures are often seen. Tibia and fibula bones are attached to each other tightly with interosseous ligament tissue, called fibrosis. Either alone is therefore rare bone fracture, often broken by tibia and fibula. Depending on whether the two can be the same level of injury as a broken bone can be seen at different levels.

How does the tibia-fibula fracture?

Tibia-fibula fractures, traffic accidents, falls, gunshot wounds, assault such as sports such as high energy trauma may be in the form of rotation, shear can also be seen as an indirect low-energy trauma. High-energy fractures are usually open fractures. Open fractures, fractures in contact with the external environment is called a broken ends. The most important feature is that it requires immediate surgical treatment of open fractures.

How to diagnose fractures of the tibia-fibula laid?

Deformity of the tibia-fibula fracture in the leg, leg, abnormal movement, severe pain, leg shortening, mostly on physical examination and diagnostic findings laid. Fracture, whether or not broken, bone loss, whether it is in order to determine the location of the fracture radiological examination done. According to the localization tibial fractures: 1-proximal tibia (tibial plateau) Fractures of the distal tibia shaft fractures of the tibia (tibial plafond) are classified as fractures. Fractures of the tibial plateau and the tibial plafond fractures, including joint between the ends of the separation and the broken parts of the intra-articular fracture computed tomography is performed to assess . It also sports a new beginners or athletes are often a result of overloading cant seen, stress fractures seen in the MRI study is that they are asked to direct x-rays.

How to treat fractures of the tibia-fibula?

Tibial stress fractures, fractures of the tibia alone, weathering, show off the transverse shear tibia-fibula fractures, gypsum and / or can be treated with foot orthoses.

Open fractures of the tibia-fibula fracture with extensive soft tissue defects, fractures with bone loss, complex tibial fractures are treated with external fixation.

Open reduction and internal fixation of tibial plateau and tibial plafond fractures are often treated locked or unlocked plate and screws.

Tibial shaft fractures, locked or unlocked intramedullary nails should be used whenever possible. Intramedullary nails, steel, or titanium rod into the shape of the bone and nail his special technique promoted. These nails are passed through the holes in the upper and lower ends of the bone screws are called locked intramedullary nailing is detected. Locked nails, ensuring alignment of fractures of the tibia part, oblique fractures course is preferred in order to avoid slipping or broken ends of the convergence of shortening, targeted compression of the upper or lower ends of transverse bone fractures, intramedullary nails are identified.

Boiling in the tibia-fibula fracture how long?

4-6 months, the average time to union tibia-fibula fracture. This period may be extended up to 1 year.

About the author

Prof.Dr. Seref Aktas