Tibia and fibula fracture often occur together. The levels of fracture could be same or differ depending on the pattern of injury. In this article, pictures and radiographs of tibia and fibula fracture are being shown.
Image 1 -Comminuted Open Tibia Fibula Fracture
Open fractures occur when the covering skin layer is breached by external force or the fracture fragment injuring from within.
Open fractures are a very common occurrence in leg bones because the soft tissue envelopes are very thin around the bones especially tibia in its anteromedial aspect.
A 20-year-old young male was hit by a motorbike while he was attempting to cross the road. He presented to casualty with a large wound over the middle third circumference of the leg.
The tibia and fibula were bared and comminuted fragments could be seen and there appeared a bone loss.
Image 2 – Xray of Malunited Tibia and Fibula Fracture
A 35 years old young male visited the outpatient department with a history of trauma to ankle two days back. The ankle was swollen. The leg showed a varus deformity and marks a scar that of secondary healing and multiple small round scars in linear fashion probably from pin insertion.
An x-ray of the leg with ankle was done and revealed old malunited fractures of the tibia and fibula with varus angulation. The deformity is evident in the anteroposterior view. The injury was 2 years old
Image 3 – Fracture Tibia with Segmental Fracture Fibula
A 32 years old young male suffered an injury after he collided with a tractor. He sustained injuries on his right leg and the x-ray revealed a fracture of the tibia with a segmental fracture of the fibula.
A segmental fracture is defined as a comminuted fracture in which one of the fragments have a complete cortex.
Segmental fractures signify a substantial trauma.
Image 4 – Xarys of Shaft Tibia and Fibula Fracture
The image in the x-ray belongs to a 34 years old male who suffered fractures of right tibia and fibula in a motor vehicle accident
The fracture was successfully managed by closed reduction and internal fixation using a locked intramedullary nail.
Image 5 – United Fibula Fracture With Ununited Tibia Fracture
Following x-ray belongs to 49 years old lady with fractures of tibia and fibula in the lower third of the leg
The x-ray shows a united fracture fibula whereas fracture of the tibia is ununited. The x-ray was taken after 6 months of nonoperative treatment.
Image 6 – Proximal Tibia and Fibula Fracture
Following a road traffic accident, a young man presented with swelling around the knee. Xray showed fractures of the upper end of tibia and fibula
Here is the lateral view
There was no neural deficit associated with the injury. The injury was managed by above knee slab.
Image 7 – Comminuted Distal Tibia and Fibula Fracture
These X-rays show a comminuted fracture in the distal tibia with fracture lines extending till articular area, something like Pilon fracture. Also seen is a fracture of the fibula.
Image 8 – Midshaft Tibia and Fibula Fracture
The following x-ray is follow up of a midshaft fracture of tibia and fibula which was managed conservatively in a plaster cast.
Image 9 – Midshaft Tibia and Fibula Fracture with Previous United Ipsilateral Distal Tibia and Fibula Fracture
Xrays of 53 years old truck driver who had an open fracture tibia and fibula in a united previous fracture of tibia and fibula in the lower third area.
Image 10 – Spiral Fracture Tibia with Fracture Fibula
AP and Lateral Views of fracture of tibia and fibula in the distal third of the leg.
Fracture of the tibia is spiral in nature and is comminuted.
The patient was treated with external tubular fixator and skin grafting.
Image 11 – Distal Tibia and Fibula Fracture
Comminuted fracture of tibia and fracture of the fibula in the distal leg.
The tibia was fixed with distal tibia anatomical plate and fibula was fixed with a one-third tubular plate.
Image 12 – Xray of Proximal Tibia and Fibula Fracture
Fracture of upper third shaft of the tibia in a 60 years old lady.
The fracture is comminuted and has a large butterfly fragment.
Image 13 -Xray of Open Comminuted Tibia and Fibula Fracture
63 years old man met with an accident when his bike collided into another. He suffered an open fracture of tibia and fibula.
Xray of the injured leg is shown be
The patient was treated with the cleaning of the wound and fixation with an interlocked medullary nail.
Image 14 – Fracture of Tibia With Segmental Fracture Fibula
Following x-ray of leg in 28 years old lady shows a fracture of the tibia and a segmental fracture of the tibia.
The Patient was treated with closed reduction and internal fixation using an intramedullary interlocking nail.
Image 15 – Distal Tibia and Fibula Fracture Fixed with Interlock Nail and One Third Tubular Plate
Fracture of tibia and fibula in the distal part following a household injury in 43 years old lady. This is an x-ray after 4 weeks of surgery.
The tibial fracture has been fixed by interlock nailing and fibular fracture using one-third tubular plate.
Image 16 – Fracture of Distal Third Tibia With Comminuted Fracture of Fibular Shaft – Xrays
AP and Lateral View Xrays of Fracture Tibia and Fibula in an adult patient
The fracture in tibia is oblique whereas fracture of the fibula is comminuted.
Image 17 – Xray United Shaft of Tibia and Fibula Fracture
24 years old male was treated non operatively for minimally displaced fracture of the shaft of the tibia with an undisplaced fracture of the fibula. Above knee, cast was given for one month followed by patellar tendon bearing [PTB] cast for another month.
The following x-ray is after two months of initial injury after PTB cast was removed.
The fracture is united well in the acceptable position.
Image 18 – Fracture Tibia Operated With Dynamic Compression Plate with Fracture Fibula
Xray of fracture tibia in 25 years old male operated with 12 holes dynamic compression plate and bone grafting.
The x-ray as taken after 4 weeks of surgery.
Image 19 – Fracture Tibia Fibula With Intramedullary Locking Nail In Situ
Fracture of the distal third of tibia and fibula after tibia has been fixed with interlock nail.
The x-ray is two weeks after the surgery.
Image 20 – Lower Tibia and Fibula Fracture With Undisplaced Fracture of Medial Malleolus
53 years old man struck by a motorcycle and injured his leg. An x-ray revealed a comminuted fracture of the tibia, fracture of the fibula and an undisplaced fracture of the medial malleolus.
Image 21 – Fracture Upper-End Tibia With Fracture Fibular Neck
43-year-old male having a motor vehicle injury got his knee injured. Here is the x-ray picture of the knee and leg
As the xray shows, there is a fracture of upper end ofthe tibia and fibular neck.
The arrow marks the fracture of medial malleolus
Image 22 – Operated Intraarticular Fracture Distal Tibia and Distal Fibula Fracture
Intra-articular fracture of distal tibia and fracture of distal fibula [lateral malleolus fracture] treated by open reduction and internal fixation.
The tibia has been fixed by the distal tibia anatomical plate and fibula has been fixed using a one-third tubular plate.
Image 22 – AP and Lateral Views of Interlocked Fracture Tibia
Following x-ray are of 49 years old truck driver who met with an accident and had closed fracture tibia and fibula and a heel flap avulsion.
The tibia was treated with closed reduction and internal fixation using an intramedullary interlocked nail.
Also visible [arrow] in the image is Steinmann pin used to fix heel flap.
Image 23 – Segmental Fracture Tibia Fixed With Intramedullary Interlock Nail
A segmental fracture is a type of comminuted fracture where the comminuted piece has the whole of the cortex intact
Above is an oblique x-ray of the segmental fracture of tibia showing in situ interlock nail. The fracture was treated by closed reduction and internal fixation.
Also noteworthy is associated fracture of the fibula.
Image 24 – Xray of Oblique Fracture of Shaft of Fibula
Xray of oblique fracture of shaft of the fibula.
The fracture is marked by black arrows.
Image 25 – Clinical Photograph of Tibia Showing Backed Out and Exposed Screws
34 years old female with a history of being operated for fracture tibia about 10 years back. A dynamic compression plating was done and fracture united eventually.
She came with a complaint of the exposed screw. Examination of the part revealed the following picture.
Please note that there is an exposed screw clearly visible. In addition, there is a screw that is tenting on the skin.
The fracture occurred in 39 years old female who fell in her house.
Image 26 – Xray of Non-Union of Shaft of Fibula
The x-ray in the image is of a 47-year-old man who sustained a fracture of the left fibular shaft after a minor fall. The x-ray is showing an anteroposterior view of both the sides and on the left side the fibular fractures ends have not united, have become narrowed and show a gap.
The x-ray is after 5 years of injury and the patient does not have any complaint on the affected side. he had come to OPD for knee pain in the opposite knee and was investigated because he gave a history of trauma.
Image 27 – Minimally Displaced Spiral Fracture Proximal Tibia -Anteroposterior Xray
A 28 years old young male was brought to casualty after being hit by a moving truck. He suffered external injuries on the head and injury on the left upper leg.
The CT of the head was found normal and x-ray of the leg revealed fractured tibia, a spiral fracture that was not displaced much.
After management of scalp injuries the injury of the leg was discussed with the patient and patient was given option to choose between nono operative and operative treatment after explained the nature of treatment in both cases.
As the patient wanted early mobilization, he chose to get operated. The fracture was fixed with the upper tibial plate.
The patient is under follow up for postoperative management and has not suffered any complications.
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