The fibula and tibia are the two long bones of the lower leg. The fracture may be closed with minimal displacement, or it may be complicated open fracture where the fracture segment comes out of the skin. For displaced distal tibia physeal fractures managed with closed reduction and immobilisation should be reviewed in fracture clinic within 5 days. Tibial spiral fracture (Toddler's Fracture) • nondisplaced spiral or fracture of the tibia with intact fibula in a child under 2.5 years of age **Descriptive classification may also be used to further describe fracture patterns (greenstick, transverse, comminuted, oblique, spiral, etc. Management and prognosis of tibial shaft fractures are influenced by their location in the bone (proximal, middle, or distal third) and their orientation (transverse, oblique, spiral, or comminuted). Tibial shaft fractures: Tibial shaft fractures, which occur between the knee and ankle joints, are the most common type of tibia fracture.Some tibial shaft fractures can be treated in a long leg cast. Stress fractures happen because of repetitive stress and overuse, so it’s important to avoid the activity that led to the fracture. Applying an ice pack (10 minutes) or ice massage (ice cube rub for three to five minutes) to the injured area. The fibula, or calf bone, is a small bone located on the outside of the leg. Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. Here we explain the symptoms, causes, and treatment for a stress fracture of the tibia. 41 Distal tibial fractures PAUL S. WHITING AND WILLIAM T. OBREMSKEY Introduction Epidemiology Classification Treatment Outcomes Complications References INTRODUCTION As the proportion of elderly individuals increases due to longer average life expectancies, fracture incidence in this population is on the rise. What is tibia/fibula fracture open reduction and internal fixation? A tibial stress fracture is a hairline fracture of the tibia bone in the lower leg caused by overuse or repetitive stress. Patient records were reviewed to analyse the In addition to decreasing bone mineral density (BMD), multiple … Material and Methods: This study is a cross-sectional study of all distal tibia fractures treated surgically in Tengku Ampuan Rahimah Hospital, Klang from 1st January 2016 till 30th June 2018. Distal tibial fractures are often caused by high-energy injuries, and may also occur in the context of sprains, falls, or other low-energy traumas [1,2].Operative treatments that permit early postoperative weight-bearing and rehabilitation have become preferred [2–4].Surgical treatment also has many complications. management of distal tibia fractures by evaluating the treatment options, outcomes and risk factors present. In a study by De Sanctis et al, 18 72 patients with distal tibial epiphyseal fractures underwent conservative treatment (n=64) or surgical treatment … Symptoms are very similar to ‘shin splints’ with gradual onset pain on the inside of the shin. For undisplaced distal tibial physeal fractures, follow-up in fracture clinic should occur within 7 days with a repeat x-ray. However, some fractures have too much displacement or angulation and may require surgery to realign and secure the bones. 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