A CT scan will give a more in-depth image of the bone. Sometimes, stress fractures may not show up on an X-ray, and another form of imaging would be warranted. To confirm a fracture of the tibia and fibula, an X-ray is the first line of diagnostics and is usually sufficient to diagnose a fracture. Other symptoms include extreme tenderness, swelling, numbness due to artery or nerve damage, and bruising. With a tibial fracture, it’s highly unlikely the individual will be able to bear weight. If the fibula is only fractured, depending on severity, walking may be tolerable but likely very painful if it’s at the ankle level. Often there is a deformity present in the limb or a wound where the bone protrudes through the skin. Those with tibia and fibula fractures have severe pain at the location of the injury. Elderly individuals with osteoporosis can easily suffer fractures with falls or other mishaps. Others are non-contact forces on the ankle, such as severe inversion (foot rolling in). Some include trauma from a high fall, contact sports, or vehicle accidents. Several causes can attribute to tibia and fibula fractures. Of the two bones, a fracture is more common in the tibia. Comminuted: Fracture breaking into 3 or more pieces.Spiral: A fracture that resembles a spiral encircling the bone like stripes on a candy cane.Transverse: The fracture line is horizontal.All open fractures require surgery whereas casting may be recommended for a closed fracture. Closed fractures occur when the bone breaks, but the skin remains intact. Open fractures occur when the bone penetrates through the skin or if a wound is formed and the bone is visible. The two main categories of fractures are open and closed. The severity of a broken or fractured tibia is dependent upon what category of fracture that the injury belongs to. None of the patients suffered any complications such as shortness, angulation, rotational deformity and infection, and none had loss of motion in the knee.ĬEF might be a preferable alternative treatment for distal tibia-fibula fractures due to its easy application, fewer major complications such as shortness and angulation, early mobilisation and shorter treatment time.Image of a Man with a Fractured Tibia How Serious is a Broken Tibia and Fibula? After removal of the frames, 11 patients had ankle pain and stiffness, and 3 patients had loss of range of motion in the ankle even after rehabilitation. The results were evaluated for shortness, angulation, rotation, ankle stiffness, pain and infection. The patients were followed up for 36 to 78 months (mean follow-up time: 51.9 +/- 10.4 months). The mean framing time was 14.1 +/- 1.8 weeks (range, 12 to 19 weeks), and the mean treatment time was 18.8 +/- 2.2 weeks (range, 15 to 24 weeks). The type of fractures based on AO classification were A1 (n = 8), A2 (n = 6), B1 (n = 11) and C1 (n = 2). Twenty-seven patients with spiral and oblique fractures of distal 1/3 of tibia-fibula were treated with circular external fixator (CEF) between January 1997 and August 2000. Due to their types, aetiology, limited coverage and blood supply, these fractures often lead to union and soft tissue problems. Spiral and oblique fractures of distal 1/3 of tibia-fibula are relatively common fractures of long bones.
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