Leg & Tibia Fracture
Understanding your leg and tibia fracture injury is important.
Let us try to help explain some of this to you.
On behalf of Dr. Pranav Shah and the orthopaedic team we hope to serve you soon!
1. Introduction of Region:
A fracture, or break, in the shinbone just below the knee is called a proximal tibia fracture. The proximal tibia is the upper portion of the bone where it widens to help form the knee joint. In addition to the broken bone, soft tissues (skin, muscle, nerves, blood vessels, and ligaments) may be injured at the time of the fracture. Both the broken bone and any soft-tissue injuries must be treated together. In many cases, surgery is required to restore strength, motion, and stability to the leg, and reduce the risk for arthritis.
Any fracture which is about 10cm below the knee and 5cm above ankle is a shaft tibia fracture. This is one of the most common long bone fractures. Very frequently there is associated wound with the fracture making it an open fracture.
2. Causes of Fracture:
A fracture of the tibia can occur from stress (minor breaks from unusual excessive activity) or from already compromised bone (as in cancer or infection). Most, however, are the result of trauma (injury).Young people experience these fractures often as a result of a high-energy injury, such as a fall from considerable height, sports-related trauma, and motor vehicle accidents.Older persons with poorer quality bone often require only low-energy injury (fall from a standing position) to create these fractures.
3. Do I Require Surgery? :
Yes, all adult displaced tibia fractures which cannot be perfectly aligned and held by a plaster require surgery. Other indications of surgery are,
- Open fracture(Fracture with a wound)
- Fractures with nerve or blood vessel injury
- Fractures with compartment syndrome
- Multi fragmented fractures
4. What are the Benefits of Surgery? :
Surgery will help by,
- Restoring normal length alignment and rotation of both bones
- Pain relief and early return of function
- Preventing complications like: Compartment syndrome, Malunion, and nonunion
5. What is the recovery process? :
Fracture of the tibia has a reputation for complications including failure to heal, or nonunion, so the management of this injury needs a careful approach from orthopaedic surgeons. Usually, when the shaft of the tibia is broken the fibula, the smaller bone of the lower leg, is broken as well. This bone serves mainly as an anchor point for muscle and hardly bears any weight. As a result it does not need to be perfectly straight when it heals. It is sometimes surprising to patients that the doctors pay so much attention to the tibia and so little to the fibula.
Tibia fracture may take upto six months to heal. Patient can be mobilize early with the help of splint/brace and walking aids like crutches or stick.
6. What are the risks in the Surgery? :
A tibia shaft fracture can cause further injury and complications.
- Sharp fragments may cut or tear adjacent muscles, nerves, or blood vessels.
- Excessive swelling may lead to compartment syndrome, a condition in which the swelling cuts off blood supply to the leg. This can result in severe consequences and requires emergency surgery once it is diagnosed.
- Open fractures can result in long-term deep bony infection or osteomyelitis, although prevention of infection has improved dramatically over the past generation.
- Tibia fractures have the highest incidence of delayed union and nonunion
7. Does Age Affect Recovery? :
No. Tibia fractures heal well across all age groups. In elderly population special in plants (Lock Plates) may be require.
AMOGST THE BEST ORTHOPEDIC SURGEONS IN INDIA
Dr. Pranav A. Shah is working currently as the Director of Orthopedic Trauma and Hip surgeries at CIMS hospital a JCI approved tertiary care well reputed corporate hospital in Ahmedabad. He was practicing earlier as a Senior Orthopedic Trauma Consultant Surgeon at Shalby Hospital, Ahmedabad from 2007 to 2017. Dr. Pranav Shah is a celebrated name as an eminent Orthopedic Surgeon who is highly recommended and referred to, because of his excellent skills and results even in most complex cases.