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Home :: Leg Fracture Tibia

Leg Fracture, Tibia

A complete or incomplete break in the tibia, one of the two large bones of the leg between the knee and ankle.

BODY PARTS INVOLVED

  • Tibia.
  • Knee and ankle joints.
  • Soft tissue around the fracture site, including nerves, tendons, ligaments and blood vessels.

Causes

  • Direct blow to the leg.
  • Weakening of the bone from repeated stress,resulting in a stress fracture that progresses to a complete fracture. This is especially common in joggers, marathon runners and walkers.
  • Indirect stress caused by twisting or violent muscle contraction.

Signs & Symptoms

  • Severe leg pain at the time of injury.
  • Swelling of soft tissue around the fracture.
  • Visible deformity if the fracture is complete and the bone fragments separate enough to distort normal leg contours.
  • Tenderness to the touch.
  • Numbness and coldness in the leg and foot beyond the fracture site if the blood supply is impaired.

Treatment

Follow your doctor's instructions. Instructions are supplemental.

  • Immobilization will be necessary. A rigid cast is placed around the injured leg to immobilize the knee and ankle.
  • After 48 hours, localized heat promotes healing by increasing blood circulation in the injured area. Use a heat lamp or heating pads so heat can penetrate the cast.
  • After the cast is removed, use frequent ice massage. Fill a large Styrofoam cup with water and freeze. Tear a small amount of foam from the top so ice protrudes. Massage firmly in a circle over the injured area.

MEDICATION

Your doctor may prescribe:
  • General anesthesia, local anesthesia, or muscle relaxants to make bone manipulation and fixation of bone fragments possible.
  • Narcotic or synthetic narcotic pain relievers for severe pain.
  • Stool softeners to prevent constipation due to inactivity.
  • Acetaminophen for mild pain.

Home Diet

  • Drink only water before manipulation or surgery to treat the fracture. Solid food in your stomach makes vomiting while under anesthesia more hazardous.
  • During recovery, eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Increase fiber and fluid intake to prevent constipation that may result from decreased activity.
Prevention Tips
  • Build your strength with a good conditioning program before beginning regular athletic practice or competition. Increased muscle mass helps protect bones and underlying tissue.
  • Use appropriate protective equipment, including good running shoes for running, and shin guards for participation in contact sports.
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