Tibia and fibula fracture recovery process

Tibia and fibula fractures require surgical reduction after they occur. After the operation, you need to pay attention to recovery and precautions. First of all, avoid forced exercise that may cause recurrence of fractures. You need to rest in bed for at least two weeks. If the bones have not fully recovered, it must be more than three weeks to ensure that no unnecessary complications will occur. During the recovery period, you must observe reasonably and go to the hospital for regular check-ups.

Preventive care Preventing direct or indirect violence can reduce the incidence of disease. If a fracture occurs, different complications should be actively prevented for different fracture sites to prevent ischemia, gangrene, and functional impairment.

After a fracture, in order to restore the weight-bearing function of the lower leg as soon as possible, the angular deformity, rotational displacement and limb shortening of the fracture must be completely corrected to avoid affecting the weight-bearing function of the knee and ankle joints. After fixation, the patient should be immediately instructed to perform ankle dorsiflexion and quadriceps contraction exercises. After 2 weeks of fixation of stable fractures, the patient should perform leg lifting and knee flexion activities under the guidance of a doctor. After 3 weeks, the patient can leave the bed and walk with crutches without weight bearing while the splint is still fixed. In the later stage, the patient can do muscle massage and cycling activities.

Pathological etiology: This disease is mostly caused by direct violence. Direct violence is mostly caused by crushing, collision, and blow, and the fracture line is transverse or comminuted. Sometimes the two lower legs are broken in the same plane. Soft tissue injury is often serious, which can easily cause open fractures. Sometimes, although the skin is not broken, the contusion is severe, and secondary necrosis occurs due to poor blood circulation, resulting in bone exposure and infection and osteomyelitis. Indirect violence is mostly caused by falling from a height, sprains from running or jumping, or fractures caused by slipping. The fracture line is often oblique or spiral, and the tibia and fibula are often not fractured in the same plane.

The diagnosis of the disease can usually be confirmed by combining clinical and X-ray manifestations, but fatigue tibia and fibula fractures sometimes need to be differentiated from osteoid osteoma and greenstick fractures, local bone infection, and early bone tumors.

1. Although osteoid osteoma has cortical thickening and periosteal reaction, it has a more typical tumor nest.

2. Greenstick fractures mostly occur in children with a clear history of trauma.

3. Local bone infection is mainly characterized by periosteal reaction and cortical thickening, without trabecular fracture and cortical notch sign, and the clinical epithelial temperature is relatively high.

4. Early bone tumors are mainly characterized by lace-like or onion-skin-like periosteal reactions, followed by gradual bone destruction, tumor bone and soft tissue masses.

Although fatigue fractures and the above-mentioned bone diseases have the same manifestations as local periosteal reaction, cortical bone thickening and sclerosis, they still have their own characteristics. As long as the X-ray characteristics and clinical history are grasped, a correct diagnosis of fatigue fractures can be made.