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Tibial fracture

Last updated: February 11, 2021

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Tibial fractures are the most common type of long bone fractures. They are usually caused by direct trauma and may occur proximally (tibial plateau fracture), at the shaft, or distally. The fracture may solely involve the tibia or the fibula, or it may involve both. As only a small amount of tissue covers the bone structures, there is a higher risk of open fracture, neurovascular injury, compartment syndrome, and wound infection. Depending on the location and stability of the fracture, treatment may involve casting, intramedullary nailing, open reduction and internal fixation, or external fixation.

References:[1]

References:[2][3][4][5]

We list the most important complications. The selection is not exhaustive.

  1. Lipohaemarthrosis. https://radiopaedia.org/articles/lipohaemarthrosis. Updated: February 14, 2017. Accessed: February 14, 2017.
  2. Fields KB. Tibial shaft fractures in adults. In: Post TW, ed. UpToDate. Waltham, MA: UpToDate. https://www.uptodate.com/contents/tibial-shaft-fractures-in-adults.Last updated: January 23, 2017. Accessed: February 14, 2017.
  3. Fields KB. Fibula fractures. In: Post TW, ed. UpToDate. Waltham, MA: UpToDate. https://www.uptodate.com/contents/fibula-fractures?source=search_result&search=fibula%20fracture&selectedTitle=1~34#H8.Last updated: June 29, 2015. Accessed: February 14, 2017.
  4. Fields KB. Proximal tibial fractures in adults. In: Post TW, ed. UpToDate. Waltham, MA: UpToDate. https://www.uptodate.com/contents/proximal-tibial-fractures-in-adults?source=see_link#H17.Last updated: May 12, 2015. Accessed: February 14, 2017.
  5. Konowalchuk BK. Tibial Shaft Fractures. Tibial Shaft Fractures. New York, NY: WebMD. http://emedicine.medscape.com/article/1249984. Updated: June 10, 2016. Accessed: February 14, 2017.
  6. Mehin R, O’Brien P, Broekhuyse H, Blachut P, Guy P. Endstage arthritis following tibia plateau fractures: average 10-year follow-up. Canadian Journal of Surgery. 2012; 55 (2): p.7-94. doi: 10.1503/cjs.003111 . | Open in Read by QxMD