Whether it be from the edge of a chair or the infamous scooter, we are all too aware of the pain caused by a direct hit to the shinbone. The tibia or shinbone is the larger of the two and supports the majority of our weight. Tibia fracture skin#The screws and pins are secured to a bar outside the skin which holds the bones in the correct position while they heal.Our lower legs are made up of two bones, the tibia and the fibula. External fixation: During this procedure, screws or metal pins are placed into the bone below and above the site of the fracture.Both ends of the intramedullary nail are screwed to the bone to keep the bones and nail in proper position while the fracture heals. Intramedullary nailing: During this procedure, a metal rod is placed into the central canal of the tibia passing across the fracture site.Plates and screws: During this procedure, the bone fragments are reduced or repositioned into their normal alignment and held together by metal plates and screws attached to the outer surface of the bone. Surgical treatment is recommended for complex or open fractures. The cast is then replaced with a functional brace which allows some movement of the limb while still providing support and protection. Your doctor may also recommend immobilizing your leg in a rigid cast for several weeks. Initially, a splint may be applied to provide support and comfort. Non-surgical treatment may be recommended prior to surgical treatment to protect the area until the swelling goes down and if you are not a good candidate for surgery. The treatment approach for tibial fractures depends upon the type and severity of the fracture as well as your condition. To identify the type and severity of the fracture, your doctor will order imaging studies such as X-rays, CT scan, MRI or a bone scan. To diagnose a tibial fracture, your doctor will review your symptoms and medical history and conduct a thorough physical examination.
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