Xray Pictures of Fractured Tibia

Tibia is the bone that spans from knee to ankle. Here are some xray pictures of fractured tibia

Image 1 – Xray Of Comminuted Fracture of Upper End Of Tibia

Xray picture of fractured tibia

Comminuted fracture upper tibia

The xray in image shows a comminuted fracture of upper end of tibia. The xray in present picture is anteroposterior view.

Image 2 –  ObliqueFracture of Lower End Tibia

Oblique fractures are the fracture at an angle to transverse axis of the bone and extend into two planes. Oblique fractures are result of an indirect trauma.

Following xray is of 47 years old male who met with trauma when he was traveling on the bike. The xray reveals fractured tibia in an oblique fashion and comminution of fracture was visible.oblique-fracture-lower-tibia

 Image 3 -Oblique Fracture Upper End Tibia

The xray is picture of fractured tibia upper end in 38 years old young man who suffered this injury following a bike accident.

 

 

fracture-upper-tibia

  Image 3 – Tibial Plateau Fractures

Tibial plateau fractures are complex fracture involving articular surface of upper end tibia also called tibial plateau.fracture-tibial-plateau
Because they are articular fractures in a weight bearing joint, it is important to treat this fractures with anatomical restoration of the joint congruity.

The xray belongs to 46 years old male who suffered injury in an accident. The xray revealed depression of the lateral condyle along with comminuted fracture of medial condyle.

Image 5 – Tubular Fixator With Bent Pins In  Fracture Lower Third Tibia

Following xray belongs to 33 years old lady who had an open fracture tibia grade III [Bone stripped of soft tissue cover] with closed fracture of fibula.
The patient was initially treated with wound debridement and external fixation with across the ankle fixator.

This xray was done after two months of application of the fixator and top two pins were found bent, a sign of imminent implant failure.
By that time, however skin wound had healed completely. Therefore, external fixator was removed and patient limb was splinted using a slab.

It was followed by internal fixation and bone grafting.

Image 6- Oblique Fracture Distal Tibia In Plaster Cast

Oblique fracture of distal tibia being treated in a plaster cast.

Oblique Fracture Lower end tibia In Plaster Cast

Oblique Fracture Distal Tibia In A Plaster Cast

The fracture failed to unite and was operated upon.

  Image 7 – Transverse Fracture of Lower Third of Tibia

Transverse fracture of tibia in lower third of tibia.

Transverse Fracture of Tibia In Lower Third of Tibia

Transverse Fracture of Tibia

The xray is of 29 years old male who fell from stair on the ground.

Image 8 – Fracture Shaft Of Tibia With Plaster Of Paris Cast

The xray is of 36 years old female with tibia fracture being managed with conservative treatment by plaster of Paris cast.

The fracture united successfully and patient had almost complete range of motion after 3 months of physiotherapy.

A 33 years old male suffered trauma when he fell from motorbike. He had a closed fracture of lower third of tibia on right side. His xray after injury [Limb is splinted as you can see] showed a spiral fracture of tibia along with fracture of fibula of right side.

Image 9 – Spiral Fracture of Lower Third Tibia  Before And After Surgery

The patient was treated with open reduction and osteosynthesis using plate and screw.

A screw was also used to hold the fracture before plate was applied. Fibula was not fixed as length was regained as checked under image.

The second xray is one month following the surgery. The fracture eventually united well and patient has regained his prefracture range of motion.

Spiral fractures need to be treated with good reduction and plate and screw with compression screws offer very good option for these fractures.

 Image 9- United Operated Fracture of Lateral Condyle of tibia

Following xray is of united fracture of lateral condyle of tibia operated with open reduction and internal fixation with buttress plate.

Here is the AP view

Operated Lateral Condyle Tibia With Buttress Plate

Anteroposterior View Of United Fracture Lateral Condyle Tibia With Buttress Plate In Situ

Here is the lateral view

Operated Lateral Condyle Tibia With Buttress Plate

Lateral View of The Same

These xrays were taken after two months of surgery.

Image 10 – Open Fracture Distal Tibia

A five years old child had an open fracture of distal tibia following a twisting injury after his foot got stuck in revolving cycle spokes.

The child was seen in casualty and there was no other injury except this one. tibi proximal end was found jutting out of the wound. The wound was cleaned and bone was repositioned inside the skin and after splinting with Cramer wire, following xrays were done.

Distal tibia fracture in child following spoke wheel injury

Spoke Wheel Injury Resulted In Fracture Distal Tibia

The child was taken for wound debridement and external fixation. Here is the postoperative xray with aligned bone and external fixator in position.

External fixation of distal tibia fracture

External Fixation of The Fracture

The wound healed well in two weeks following which an above knee cast was applied.

The bone united in about 5 weeks and patient had full functional recovery.

Image 11 – Undisplaced Comminuted Fracture of Tibia

AP and lateral xrays of comminuted and undisplcaed fracture of tibia.

comminuted-undisplaced-fracture-tibia

Comminuted Undisplaced Fracture Tibia

It is a spiral fracture and spans about 10 cms of tibia.

Image 12 – Depressed Fracture of  Tibial Condyle

Tibial Condyle fracture in 39 years old man.

Depressed Fracture of Lateral Condyle of TIbia

Depressed Fracture of Lateral Condyle of TIbia

It is a depressed fracture and needs elevation of the depression,bone grafting and fixation.

Image 13 – United Operated Tibial Condyle Fracture with Buttress Plate

Two months follow up xray of operated fracture lateral condyle tibiia fixed with buttress plate.

Fracture Of Lateral Condyle Of Tibia Showing Union After 2 Months of Fixation

At two months the fracture is well united.

Image 14 – Malunion of Uppper End Tibia Fracture

Xray showing malunion of uppper end tibia fracture. For ease of understanding lines have been drawn.

Upper TIbia Fracture Malunited In Varus Position

Upper Tibia Fracture Malunited In Varus Position

The arrow indicates the fracture.

Grey line indicates the long axis of the tibia. White line is the line perpendicular to transverse axis of tibial articular surface. In normal anatomical position, the grey line should coincide with white line. The angle indicates a deviation from axis.

Image 15 – Operated, United Fracture Upper Tibia Treated with Lateral Tibial Plate

 

Xray of operated and united fracture tibia. Tibial fixation was carried using lateral tibial plate.

Here is AP view

AP View of Operated Fracture Tibia

AP View of Operated Fracture Tibia

Lateral view

Lateral View of Operated Fracture Tibia

Lateral View of Operated Fracture Tibia

The xray was taken after three months of surgery.

Image 16 – Xray of Undisplaced Fracture of Proximal Tibia

Undisplaced fracture of upper end tibia in 43 years old male.

Undisplaced Fracture Upper End Tibia

Unplaced Fracture Upper End Tibia

The fracture was treated with above knee cast.

Image – 17 Xray Fracture of Tibia Treated by Kuntscher Nailing

Xray of fracture of tibia and fibula treated by closed Kuntscher nailing of tibia.

Fracture Tibia with Kuntscher Nail

Fracture Tibia with Kuntscher Nail

The xray belongs to 43 years old male.

Image 18 – Clinical Photograph of External Fixator in Tibial Fracture

Clinical photograph of external fixator applied to open fracture tibia.

External Fixator Applied To Tibia

External Fixator TIbia

Also visible is the stitched incision line for fibular plating.

Image 19 – Open Comminuted Fracture of Distal Tibia – Xray

Comminuted fracture of tibia in distal part following a motor vehicle injury. The xray belongs to 29 years old male .

Comminuted Fracture Distal Tibia

Comminuted Fracture Distal Tibia

The fracture was open and was treated with external fixator.

Image 20 – Xrays of Oblique Fracture Tibia Fixed with Interfragmentary Screw and Broad Dynamic Compression Plate

Xray of oblique fracture of tibia in 36 years old male.

Operated Oblique Fracture of Lower Third Tibia

Oblique Fracture of Lower Third Tibia

The fracture was treated by using interfragmentary screw and broad dynamic compression plating.

Operated Oblique Fracture of Lower Third Tibia

Oblique Fracture of Lower Third Tibia

The fracture united well after 8 weeks of treatment.

Image 21 – Spiral Fracture of Tibia in a Six Years Old Child

Xray of leg showing spiral fracture of tibia in six years old child.

Spiral Fracture of Tibia in a Child

Spiral Fracture of Tibia in a Child

The fracture was treated with above knee cast.

Image 22 – Lateral View of United Fracture of Upper Tibia

Xray of knee and upper tibia showing united fracture of Upper tibia.

United Fracture Upper TIbia

United Fracture Upper Tibia

The xray belongs to 27 years old male who was injured in an accident and had an undisplaced fracture of upper tibia.

Image 23 – Postoperative Xray Photograph of Segmental Open Fracture Tibia and Fibula

 

Following image is postoperative xray of segmental open fracture of tibia and fibula. Previous xray does not show segmental configuration and was recognized peroperatively in C-arm image intensifier.

Segmental Open Fracture of TIbia and Fibula Treated By Interlocked Medullary Nailing

Segmental Open Fracture of TIbia and Fibula Treated By Interlocked Medullary Nailing

The fracture has been well stabilized by the nail and patient is kept in the followup.

Image 24 – Xray of Comminuted, Minimally Displaced Fracture of Tibia

Twenty seven year old girl fell fro stairs and injured her leg. Xray of the leg revealed a comminuted fracture of the the tibia.

Comminuted Minimally Displaced Fracture Tibia

Comminuted Minimally Displaced Fracture Tibia

The fracture was minimally displaced and was treated with above knee cast.

Image 25 – Segmental Fracture of Tibia Fixed With Closed Intramedullary Locked Nail

 

Following is a image of xray of 26 years old male with segmental fracture of tibia treated with closed intramedullary locked nailing.

Segmental Fracture of Tibia With Nail In Situ

Segmental Fracture of Tibia With Nail In Situ

Xray was taken after 3 days of surgery.

Image 26 – Xray of Leg With Uniting Segmental Fracture of Tibia With Interlock Nail In Situ

21 year old male was hit by a motorcycle and it resulted in of tibia.

The fracture was operated with closed reduction and internal fixation using interlocking medullary nail as fixation device.

Following xray was taken after three months of surgery.

Uniting Segemental Fracture Tibia

Uniting Segmental Fracture Tibia

The fracture has united at the proximal [upper] end and is uniting at the distal [lower] end. Patient has full knee and ankle movements.

Image 27 – Comminuted Fracture of Shaft of Tibia

Comminuted  Fracture of Tibia

Comminuted Fracture of Tibia

Image 28 – Postoperative Xray of Fracture of Tibia Operated With Dynamic Compression Plate

38 years old male was treated for injury to tibia and fibula by fixing the tibial bone using dynamic compression plate. Here is an xray after two weeks of surgery.

Fracture Tibia Fixed With Dynamic Compression Plate

Fracture Tibia Fixed With Dynamic Compression Plate

The fibula was not fixed as the fracture is quite far from ankle joint.

Image 29 -Postoperative Xray of Fracture of Tibia Operated With Dynamic Compression Plate

38 years old male was treated for injury to tibia and fibula by fixing the tibial bone using dynamic compression plate. Here is an xray after two weeks of surgery.

Fracture Tibia Fixed With Dynamic Compression Plate

Fracture Tibia Fixed With Dynamic Compression Plate

The fibula was not fixed as the fracture is quite far from ankle joint.

Image 30 -Uniting Fracture Tibia Showing Callus

The patient was treated with external fixator and skin graft. It was followed by removal of fixator at 8 weeks and application of patellar tendon bearing plaster cast.

Uniting Fracture Tibia Showing Callus

Uniting Fracture Tibia Showing Callus

 

This xray was taken after 4 months of the treatment.

Image 31 – Transeverse Fracture Shaft Tibia In Six Year Old Child

 

Transverse fracture of tibia in a six year old child.

Transverse Fracture of Tibia In A Child

Transverse Fracture of Tibia In A Child

The fracture was treated with above knee cast.

Image 32 – External Fixator In Tibia With Kwires In Heel – Xray

Twenty five years old male came with a request to remove hte external fixator and Kwires that had been used to treat open fracture tibia and heel flap avulsion injury.

His latest xray revealed following

External Fixator In Tibia With Kwires In Heel

External Fixator In Tibia With Kwires In Heel

The patient was told that tibial fracture has not yet united and he would require another surgery in form of internal fixation after removal of the fixator.

He was lost in the follow up.

Image 33 – Xray of Minimally Displaced Comminuted Fracture Of Tibia

52 years old truck driver fell from roof of the truck while sleeping and injured his leg. Xray revealed a minimally displaced highly comminuted fracture of tibia in lower third of the leg.

Comminuted Fracture of Tibia With Minimal Displacement

Comminuted Fracture of Tibia With Minimal Displacement

The fracture was treated with above knee cast. The xray shown above was taken after 3 weeks of cast application.

Image 34 – Transverse Comminuted Fracture of Shaft Of Tibia

Xray of comminuted fracture of shaft of tibia in 37 years old male injured in motor vehicle accident.

Transeverse Comminuted Fracture TIbia

Transeverse Comminuted Fracture TIbia

The limb is splinted with Cramer wire which is visible in one view.

Image 35 – Xray of United Fracture Upper Tibia With Proximal Tibial Plate in situ

53 years old male presented with non union of upper tibial fracture. Open reduction and internal fixation using upper tibial plate was done. In addition, bone grafting was done using bone from ipsilateral [same side] iliac crest.

Following xray is taken after 4 months of surgery.

United Fracture Upper Tibia With Upper Tibial Plate In Situ

United Fracture Upper Tibia With Upper Tibial Plate In Situ

The fracture shows good union in both the views.

Image 36 – Xray of Fracture of Proximal Tibia

Xray of knee with leg showing fracture of proximal tibia.

Fracture Proximal TIbia With Subluxation of Knee

Fracture Proximal Tibia With

The fracture occurred in 52 years old man following a scooter accident.

Image 37 – Anatomical Plate In Distal Tibia Fracture

42 years old male with injury in motor vehicle accident.

Had comminuted fracture of distal tibia along with lateral malleolus fracture.

An open reduction and internal fixation was carried for both the fractures.

Tibia was fixed with distal tibia anatomical plate and fibula was fixed with one third tubular plate.

Here is the clinical photograph showing well fitting distal tibia anatomical plate.

Distal TIbia Plate In Fractures of Distal Tibia

Clinical Photograph During Surgery Showing Well Contoured Anatomical Plate

Postoperative xray shows good reduction. Also visible in this view is fibula fixation palte.

Postoperative Xray Showing Fixation Of TIbia as Well Fibula

Postoperative Xray Showing Fixation Of TIbia as Well Fibula

The patient had good healing of both the fractures and good motion at ankle joint.

Image 38 – United Fracture of Tibia With Buttress Plate and Interfragmentary Screw In Situ

Eight months postoperative xray of 56 years old male treated with buttress plate and interfragmentary screw.

Fracture of Tibia Treated With Buttress Plateand Interfragmentary Screw

Fracture of Tibia Treated With Buttress Plate and Interfragmentary Screw

Image 39 – Oblique Fracture of Tibia In A Plaster Cast AP and Lateral Views

Anteroposterior and lateral views of Oblique Fracture Tibia In a cast

Oblique Fracture TIbia In Middle Third Distal Third TIbia

Oblique Fracture Tibia In Cast

The fracture alignment is in acceptable position.

Image 40 – AP and Lateral Views of Fracture of Proximal Tibia

47 years old mason by profession came with knee injury after a motor vehicle accident. Xray revealed fracture of upper end tibia.

Fracture Upper End Tibia

Fracture of Upper End Tibia

The patient was treated by open reduction and fixation by lateral head tibial buttress plate

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