![]() ![]() It can be felt when you run your hand on the front of your leg. Tibia, also commonly known as the shinbone, runs between the length of your shin between the ankle and the knee. The doctor will advise a surgical or a non-surgical treatment based on the severity of the fracture. It might also include a long recovery time, depending on the extent of damage caused to the bone. A fracture to the tibia can take a variety of forms and can involve long periods of inactivity and immobility. It can be fractured as a result of a trauma and can result in bruising accompanied with intense pain in the lower leg. It does not store any personal data.Tibia, one of the longest bones of the body is also the one that is most commonly fractured. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The cookie is used to store the user consent for the cookies in the category "Performance". This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other. The cookies is used to store the user consent for the cookies in the category "Necessary". The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". ![]() The cookie is used to store the user consent for the cookies in the category "Analytics". ![]() These cookies ensure basic functionalities and security features of the website, anonymously. Necessary cookies are absolutely essential for the website to function properly. Figure 3- Ankle fracture (Weber B) show on plain film radiograph, in AP and lateral views Management Figure 1 - The ankle is comprised of the tibia, fibula, and talus Classification The type of operative procedure performed depends on the specific type of ankle fracture sustained. Displaced bimalleolar or trimalleolar fractures.Ankle fractures that require an ORIF include: Open reduction and internal fixation (ORIF) is often required in ankle fractures to achieve stable anatomical reduction of the talus within the ankle mortise. Weber A fractures or Weber B fractures without talar shift.Non-displaced medial malleolus fractures.Request a repeat plain film radiography if the reduction is not adequate, repeat reduction attempts are required.Ĭonservative management will often be opted for in: You must then repeat and document the post-reduction neurovascular examination. Once reduced, the ankle should be placed in a below knee back slab. Any patients that have with evidence of an open fracture should be managed accordingly. Initial management requires immediate fracture reduction, usually performed under sedation in the Emergency Department, to realign the fracture to anatomical alignment. This system is based on the ankle position at the time of injury and the deforming force involved, and is much more detailed than the Weber classification. In orthopaedic practice, the Lauge-Hansen classification is more widely used. The more proximal the injury, the higher the likelihood of ankle instability consequently, Type C fractures almost always need surgical fixation. Type C = above the level of the syndesmosis.Type B = at the level of the syndesmosis.The most common classification used, especially within the Emergency Department, is the Weber classification, which classifies lateral malleolus fractures: Crudely, they can be described as isolated lateral malleolar fractures, isolated medial malleolar fractures, bimalleolar fractures ( = medial + lateral malleolar fracture), and trimalleolar fractures ( = medial + lateral + posterior malleolar fracture). Figure 1 – The ankle is comprised of the tibia, fibula, and talus ClassificationĪnkle fractures can be described anatomically.
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