Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Bones of the Lower Limb: Tibia and Fibula01:10

Bones of the Lower Limb: Tibia and Fibula

14.5K
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...
14.5K
Fractures: Bone Repair01:27

Fractures: Bone Repair

6.5K
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...
6.5K
Bones of the Lower Limb: Femur and Patella01:16

Bones of the Lower Limb: Femur and Patella

9.1K
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...
9.1K
Ankle Joint01:10

Ankle Joint

3.5K
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...
3.5K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Three-year outcomes following retained intramedullary nails (DAIR) in early fracture related infections: A prospective case series.

Injury·2026
Same author

Randomized prospective study on the treatment of extra-articular fractures of the distal tibia with intramedullary locked nails with or without simultaneous fibula fixation.

Injury·2026
Same author

Ultrasonographic bridging callus as an early predictor of tibial fracture healing.

Injury·2025
Same author

RETROSPECTIVE ANALYSIS OF THE IMPACT OF NEGATIVE PRESSURE WOUND THERAPY ON COMPLICATIONS OF DELAYED COVERAGE OF IIIB EXPOSED TIBIAL FRACTURES.

Acta ortopedica brasileira·2025
Same author

OUTCOMES OF EARLY SURGICAL REPAIR OF THE KNEE EXTENSOR MECHANISM INJURY, COMPARING THE QUADRICEPS AND PATELLAR TENDON INJURIES: A PROSPECTIVE OBSERVATIONAL STUDY.

Acta ortopedica brasileira·2025
Same author

Outcomes of DAIR for early fracture related infection: Clinical remission, recurrence, and bone healing in a retrospective cohort.

Injury·2025

Related Experiment Video

Updated: Mar 23, 2026

The Tibial Fracture-Pin Model: A Clinically Relevant Mouse Model of Orthopedic Injury
00:05

The Tibial Fracture-Pin Model: A Clinically Relevant Mouse Model of Orthopedic Injury

Published on: July 28, 2022

2.1K

TIBIAL SHAFT FRACTURES.

Kodi Edson Kojima1, Ramon Venzon Ferreira2

  • 1Coordinator of the Trauma Group of the Institute of Orthopedics and Traumatology, HC / FMUSP.

Revista Brasileira De Ortopedia
|March 31, 2016
PubMed
Summary

Tibial shaft fractures require careful management to prevent complications. Early diagnosis of compartment syndrome and timely fasciotomy are crucial, with current recommendations favoring early wound closure for open fractures to reduce infection risk.

Keywords:
DiaphysisFracture FixationIntramedullaryTibial Fractures

More Related Videos

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

18.9K
Pseudofracture: An Acute Peripheral Tissue Trauma Model
10:08

Pseudofracture: An Acute Peripheral Tissue Trauma Model

Published on: April 18, 2011

15.3K

Related Experiment Videos

Last Updated: Mar 23, 2026

The Tibial Fracture-Pin Model: A Clinically Relevant Mouse Model of Orthopedic Injury
00:05

The Tibial Fracture-Pin Model: A Clinically Relevant Mouse Model of Orthopedic Injury

Published on: July 28, 2022

2.1K
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

18.9K
Pseudofracture: An Acute Peripheral Tissue Trauma Model
10:08

Pseudofracture: An Acute Peripheral Tissue Trauma Model

Published on: April 18, 2011

15.3K

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Radiology

Background:

  • Long-bone fractures, particularly tibial shaft fractures, are common and necessitate effective treatment to prevent nonunion, malunion, and reoperation.
  • Existing AO/OTA classification may be supplemented by the Ellis classification, which incorporates soft-tissue injury assessment.
  • Compartment syndrome is a frequent complication requiring early clinical diagnosis and prompt fasciotomy.

Purpose of the Study:

  • To review current best practices for managing tibial shaft fractures, including classification, diagnosis, and treatment strategies.
  • To discuss methods for assessing fracture consolidation and the evolving protocols for open fracture management.
  • To address controversies surrounding intramedullary canal milling during nail insertion.

Main Methods:

  • Review of classification systems (AO/OTA, Ellis) for tibial shaft fractures.
  • Evaluation of diagnostic parameters and management of compartment syndrome, including fasciotomy.
  • Assessment of fracture consolidation using the RUST method (Radiographic Union Scoring System) and radiographic criteria.
  • Discussion of open fracture management protocols: debridement timing, antibiotic therapy, and wound closure.
  • Analysis of the controversy surrounding intramedullary canal milling for tibial fractures.

Main Results:

  • The Ellis classification offers additional value by including soft-tissue injury assessment.
  • Early diagnosis and management of compartment syndrome via fasciotomy are critical.
  • The RUST method aids in assessing fracture consolidation through radiographic evaluation.
  • Current evidence supports early wound closure for open fractures to minimize infection risk, challenging the traditional six-hour dogma.
  • Intramedullary canal milling shows potential benefits for closed fractures but not for open fractures.

Conclusions:

  • Optimal management of tibial shaft fractures involves comprehensive classification, vigilant monitoring for compartment syndrome, and evidence-based treatment strategies.
  • Early intervention, including timely fasciotomy and wound closure for open fractures, is paramount.
  • Further research may clarify the role of canal milling in specific fracture types.