Tibia Fracture
The tibia is one of the most common long bones to be fractured in all age groups, as it is vulnerable to both direct injuries, from a fall or from a direct blow, and indirect injuries, through twisting or bending forces. Due to the lack of a significant muscle cover and the fascial compartments present in the lower leg, the risk of open fractures and compartment syndrome with tibial fractures are greater.
Clinical symptoms
Patients will complain of severe pain in the affected leg and an inability to weight bear. On examination, there may be a clear deformity, significant swelling and bruising.
Tibia
Fracture Fixed With Intramedullary Nailing System
Management
Tibia fractures can be conservatively managed with a pop application by maintaining appropriate length and rotation whilst exact anatomical alignment is not required.
Intramedullary (IM) nailing is the most commonly used method of fixing tibial shaft fractures, providing a stable construct through small incisions, with a good success rate. Post-operatively, patients are usually able to fully weight bear immediately.