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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Bones of the Lower Limb: Tibia and Fibula01:10

Bones of the Lower Limb: Tibia and Fibula

The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
Bones of the Lower Limb: Femur and Patella01:16

Bones of the Lower Limb: Femur and Patella

The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the neck...
Ankle Joint01:10

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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Related Experiment Video

Updated: May 22, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
07:35

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

Tibia fractures: what should be fixed?

Joe Eric Gordon1, June C O'Donnell

  • 1Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, MO 63110, USA. gordone@wustl.edu

Journal of Pediatric Orthopedics
|May 17, 2012
PubMed
Summary
This summary is machine-generated.

Tibial shaft fractures often require surgical intervention for optimal outcomes, especially in open injuries or those with associated femoral fractures. Closed treatments are effective for some, but surgical stabilization offers improved results for specific fracture types.

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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Biomechanics

Background:

  • Tibial shaft fractures are common orthopedic injuries.
  • Treatment decisions involve balancing closed and surgical methods.
  • Understanding indications is crucial for patient outcomes.

Purpose of the Study:

  • To summarize absolute and relative surgical indications for tibial shaft fracture treatment.
  • To guide orthopedic surgeons in selecting appropriate management strategies.
  • To differentiate between closed and operative treatment benefits.

Main Methods:

  • Comprehensive literature review of relevant orthopedic studies.
  • Analysis of cited significant papers on tibial shaft fracture management.
  • Development of recommendations for surgical intervention.

Main Results:

  • Closed treatment success relies on casting techniques (3-point molding, Sarmiento).
  • Surgical stabilization significantly improves outcomes for open and ipsilateral femur fractures.
  • Indications for surgery include comminuted, displaced fractures (esp. with intact fibula), and adolescent fractures.
  • Compartment syndrome is a critical early complication in pediatric tibial fractures.

Conclusions:

  • Most tibial fractures can be managed non-operatively.
  • Surgical stabilization provides significant benefits for select tibial shaft fractures.
  • Careful patient selection optimizes treatment success.