Tibia Fractured Distal

AL
Andreas Lindner
ML
Marc Lazarovici
October 30, 2024

Distal Tibia Fracture: A break in the lower end of the tibia (shinbone) near the ankle.

Location: Fracture occurs in the distal third of the tibia, often involving the ankle joint.

Types: Can be simple (single fracture line) or complex (multiple fragments); may be transverse, oblique, spiral, or comminuted.

Common Causes: High-energy trauma (car accidents, falls), sports injuries, or twisting motions.

Symptoms: Pain, swelling, bruising near the ankle, difficulty bearing weight, and possible deformity.

Diagnosis: Confirmed with imaging, typically X-rays; CT scans may be used for detailed assessment, especially if the fracture involves the joint.

Associated Injuries: Often occurs with fibula fractures, ligament injuries, or damage to surrounding soft tissues.

Treatment Options:

  • Non-Surgical: For stable, non-displaced fractures; includes casting or bracing to immobilize the area.
  • Surgical: For unstable or displaced fractures; options include internal fixation with plates, screws, or intramedullary nails.

Healing Time: Generally takes 3-6 months, depending on fracture severity and treatment method.

Complications: Risk of delayed healing, nonunion, malunion, infection (if surgical), or post-traumatic arthritis if the joint is involved.

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Authors

AL
Andreas Lindner
ML
Marc Lazarovici