Is a fibula fracture serious?

Fibula fractures are very harmful after they occur, and may cause unnecessary trouble if you are not careful. Therefore, fibula fractures are very serious and need to be treated with surgery as soon as possible. After the surgery, try not to eat calcium-supplemented foods for a short period of time, because blind calcium supplementation will cause bones that have not yet been fully formed to become dislocated, which requires secondary correction.

Treatment methods The treatment of this disease mainly includes the following aspects:

(I) Manual reduction and external fixation: After successful anesthesia, two assistants perform traction and counter-traction on the knee and ankle respectively. The surgeon uses both hands to push, squeeze and pinch the broken bone ends according to the direction of displacement under fluoroscopy to reduce the fracture. After reduction, a small splint or long leg plaster can be used for fixation.

(B) Bone traction: For cases of oblique, spiral, comminuted, and other tibia and fibula fractures, the bone ends are very unstable and it is difficult to maintain a good alignment after reduction. There are also wounds at the muscle fracture site, skin abrasions, and severe swelling of the limbs. The limb must be closely observed and cannot be immediately fixed with a small splint or plaster splint. It is best to use continuous traction on the calcaneus.

(III) Extraosseous pin fixation.

(IV) Open reduction and internal fixation.

Diet and health care 1. What foods should not be eaten for tibia and fibula fractures:

1) Avoid blindly supplementing calcium

Calcium is an important raw material for the formation of bones. Some people believe that supplementing more calcium after a fracture can accelerate the healing of broken bones. However, scientific research has found that increasing calcium intake does not accelerate the healing of broken bones, and for patients with fractures who are bedridden for a long time, there is a potential risk of increased blood calcium and a decrease in blood phosphorus. This is due to long-term bed rest, which on the one hand inhibits the absorption and utilization of calcium, and on the other hand increases the reabsorption of calcium by the renal tubules. Therefore, for patients with fractures, there is no lack of calcium in the body. As long as they strengthen functional exercises and move as early as possible according to their condition and the doctor's instructions, they can promote the bone's absorption and utilization of calcium and accelerate the healing of broken bones.

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.