Shinbone fracture.Īmerican Academy of Orthopaedic Surgeons. Surgical versus conservative interventions for treating tibial shaft fractures in adults. Raju K, Smith TO, Hing CB, Solan MC, Nielsen DM. doi:10.2106/JBJS.ST.17.00063Īmerican Academy of Orthopaedic Surgeons. Intramedullary nail fixation of tibial shaft fractures: Suprapatellar approach. doi:10.1007/s0006-5Ĭereijo C, Attum B, Rodriguez-buitrago A, Jahangir AA, Obremskey W. The role of intramedullary nailing in treatment of open fractures. Hofmann A, Dietz SO, Pairon P, Rommens PM. Fractures of the proximal tibia (shinbone). doi:10.4103/ortho.IJOrtho_486_17Īmerican Academy of Orthopaedic Surgeons. Patel NK, Horstman J, Kuester V, Sambandam S, Mounasamy V. Date unknown.Īmerican Academy of Orthopaedic Surgeons. Medical risks associated with surgery or immobilization can occur as well. Nonsurgical treatment can also lead to complications including nonunion of the fracture and malalignment. Risks associated with surgery include infection, wound healing problems, nonunion of the fracture, and malalignment of the extremity. While most tibial fractures will heal without complication, there are risks of both surgical and nonsurgical treatment of these injuries. A conversation with your healthcare provider is best to determine what the best course of action is in this situation. One of the most common causes of a nonunion is tobacco use, where the use of nicotine leads to delayed healing of the fractured bone, so it's important to avoid smoking and other forms of tobacco intake. Nonunions are not common with everybody-they are more common after more severe injuries and open fractures, or in people with medical conditions that may impair bone healing. One particular concern with tibia fractures is called a nonunion, a condition where the bone fails to heal. When there is a significant soft-tissue injury, the external fixator may provide excellent immobilization while allowing monitoring and treatment of the surrounding soft-tissues. In these cases, the placement of IM rods or plates may not be possible because of soft-tissue injury. External fixators tend to be used in more severe fractures, especially open fractures with associated lacerations and soft-tissue damage.
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