Tibia Shaft Fracture

Tibia Shaft Fracture

 

The tibia Shaft Fracture is the most common long bone fracture

-accounts for 4% of Medicare population
-Occurs in the proximal third of tibia
tibia fracture education invertabelt blog free review study guide andrew champion andy oakford group

Two types of MOI

Low energy

-Typically results from a torsional injury
-Often a spiral fracture

High energy

-Direct force
-Wedge or short oblique fracture

 

Classification system

Type I- Limited periosteal stripping, < 1 cm
Type II- Mild to moderate periosteal stripping, wound 1-10 cm
Type IIIA- Significant soft tissue injury, significant periosteal stripping, no flap required
Type IIIB- Flap required due to inadequate tissue
Type IIIC- Require repair for limb viability.

 

Treatment

Non-Operative:

Closed reduction/ cast immobilization
-Closed low energy fractures with acceptable alignment
-High success rate
IM Nailing
-Malalignment
-Decrease time to union
-Decrease time to weight bearing

Percutaneous locking

-Proximal tibia fractures with inadequate fixation from IM nailing