Fractures Of Tibia

On the Tibia

Tibia - It's a long, large, shin bone. It consists of a body and two joint ends. The proximal (upper end) of the tibia part in the formation of the knee joint. The distal (lower end) of the tibia and fibula together with the talus to form the ankle joint.

Fracture of Tibia

Fracture of the tibia is due to the impact of a large force to the shaft of the bone, occurs at its different levels. Most often this happens when road accidents. Of all fractures of the musculoskeletal system, a fracture of the tibia takes 23% of the total number of injuries of the musculoskeletal system.

Classification of tibial fractures

Fractures of the diaphysis of the bone are classified as transverse, oblique, comminuted, fragmented and intraarticular. For intra-articular fractures of the tibial condyles are fractures of the tibia and fracture of the medial ( inner ankle ). The inner (medial) ankle bone is a medial stabilizer of the ankle joint, its fracture occurs during twisting (rotating) the tibia with fixed foot. Also, often fractured inner (medial) ankle occurs when a sharp, non-physiological rotation of the foot.

Diagnosis of tibial fractures

For the diagnosis of tibial fracture is mainly used radiography. In our center of traumatology and orthopedics in addition to the widely used X-ray computed tomography with the function of a three-dimensional image reconstruction. Modern methods of diagnostics of fractures allow to correctly identify the tactics of treatment.

Complications of the tibial fracture

· tibia deformation (change of axis of the limb), as a consequence of displacement of bone fragments,

·        edema,

·        pain on palpation and movement in the limbs,

·        inability to carry the axial load on that foot.

Treatment of tibial fractures

Currently, the treatment of tibial fractures is usually performed by surgical intervention. Due to the anatomical feature structure tibia, the tibia on the main surface located throughout (not covered with muscles on the medial surface), not seldom leads to a secondary fracture bone fragments the perforation of the skin. For immobilization of bone fragments at fractures of the tibia in hospitals apply skeletal traction of the calcaneus. This method is used for preoperative preparation and improvement of the skin on the affected calf.

In our center, doctors Traumatology and Orthopedics apply the most modern methods of conservative and surgical treatment of fractures of the tibia. Using the latest techniques of the plate and intramedullary osteosynthesis allows faster recovery times and rehabilitation of patients with fractures of the shin bone. Typically, the patient may carry the load on the injured leg on the next day after surgery. In most cases, the use of osteosynthesis in intraarticular fractures in the early stages allows most accurately restore the articular surface, which eliminates the risk of early development of osteoarthritis of the damaged joint.