Tibia is the bone that spans from knee to ankle. Here are some x-ray pictures of a fractured tibia
Image 1 – Xray Of Comminuted Fracture Tibia Upper End
The x-ray in the image shows a comminuted fractured tibia. The x-ray in the present picture is anteroposterior view.
Image 2 – Oblique Fracture of Lower End Tibia
Oblique fractures are the fracture at an angle to the transverse axis of the bone and extend into two planes. Oblique fractures are the result of an indirect trauma.
The following x-ray is of 47 years old male who met with trauma when he was traveling on the bike. The x-ray reveals fractured tibia in an oblique fashion and comminution of fracture was visible.
Image 3 – Oblique Fracture Upper-End Tibia
The x-ray is a picture of fractured tibia upper end in 38 years old young man who suffered this injury following a bike accident.
Image 3 – Tibial Plateau Fractures
Tibial plateau fractures are complex fracture involving articular surface of upper end tibia also called a tibial plateau.
Because they are articular fractures in a weight-bearing joint, it is important to treat this fractures with the anatomical restoration of the joint congruity.
The x-ray belongs to 46 years old male who suffered an injury in an accident. The x-ray revealed depression of the lateral condyle along with a comminuted fracture of the medial condyle.
Image 5 – Tubular Fixator With Bent Pins in Fracture Lower Third Tibia
Following x-ray belongs to 33 years old lady who had an open fracture tibia grade III [Bone stripped of soft tissue cover] with a closed fracture of the fibula.
The patient was initially treated with wound debridement and external fixation with across the ankle fixator.
This x-ray 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, the 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.
The fracture failed to unite and was operated upon.
Image 7 – Transverse Fracture of Lower Third of Tibia
Transverse fracture of tibia in the lower third of tibia.
The x-ray 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 x-ray is of 36 years old female with tibia fracture being managed with conservative treatment by plaster of Paris cast.
The fracture united successfully and the patient had an almost complete range of motion after 3 months of physiotherapy.
A 33 years old male suffered trauma when he fell from a motorbike. He had a closed fracture of the lower third of tibia on the right side. His x-ray after injury [Limb is splinted as you can see] showed a spiral fracture of tibia along with a fracture of right fibula]
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 the plate was applied. The fibula was not fixed as the length was regained as checked under the image.
The second x-ray is one month following the surgery. The fracture eventually united well and the 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 a very good option for these fractures.
Image 9- United Operated Fracture of Lateral Condyle of Tibia
The following x-ray is of united fracture of lateral condyle of tibia operated with open reduction and internal fixation with buttress plate.
Here is the AP view
Here is the lateral view
These x-rays 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. tibia 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 x-rays were done.
The child was taken for wound debridement and external fixation. Here is the postoperative x-ray with aligned bone and external fixator in position.
The wound healed well in two weeks following which an above knee cast was applied.
The bone united in about 5 weeks and the patient had a full functional recovery.
Image 11 – Undisplaced Comminuted Fracture of Tibia
AP and lateral X-rays of comminuted and displaced fracture of the tibia.
It is a spiral fracture and spans about 10 cms of the tibia.
Image 12 – Depressed Fracture of Tibial Condyle
Tibial Condyle fracture in 39 years old man.
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 x-ray of operated fracture lateral condyle tibia fixed with buttress plate.
At two months the fracture is well united.
Image 14 – Malunion of Upper End Tibia Fracture
Xray showing malunion of upper end tibia fracture. For ease of understanding, lines have been drawn.
The arrow indicates the fracture.
Grey line indicates the long axis of the tibia. The white line is the line perpendicular to the transverse axis of the tibial articular surface. In normal anatomical position, the grey line should coincide with a white line. The angle indicates a deviation from the 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 a lateral tibial plate.
Here is AP view
The x-ray 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.
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 the tibia.
The x-ray 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.
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 x-ray belongs to 29 years old male.
The fracture was open and was treated with an 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.
The fracture was treated by using an interfragmentary screw and broad dynamic compression plating.
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 a spiral fracture of tibia in six years old 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 a united fracture of upper tibia.
The xray belongs to 27 years old male who was injured in an accident and had an undisplaced fracture of the upper tibia.
Image 23 – Postoperative Xray Photograph of Segmental Open Fracture Tibia and Fibula
The following image is a postoperative x-ray of segmental open fracture of tibia and fibula. The previous x-ray does not show the segmental configuration and was recognized preoperatively in the C-arm image intensifier.
The fracture has been well stabilized by the nail and the patient is kept in the followup.
Image 24 – Xray of Comminuted, Minimally Displaced Fracture of Tibia
A twenty-seven-year-old girl fell from stairs and injured her leg. Xray of the leg revealed a comminuted fracture of the 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 an image of x-ray of 26 years old male with a segmental fracture of tibia treated with closed intramedullary locked nailing.
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 the interlocking medullary nail as a fixation device.
Following xray was taken after three months of surgery.
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
Image 29 -Postoperative Xray of Fracture of Tibia Operated With Dynamic Compression Plate
38 years old male was treated for the injury to tibia and fibula by fixing the tibial bone using dynamic compression plate. Here is an x-ray after two weeks of surgery.
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 an external fixator and skin graft. It was followed by removal of fixator at 8 weeks and application of patellar tendon bearing plaster cast.
This x-ray was taken after 4 months of the treatment.
Image 31 – Transverse Fracture Shaft Tibia In Six Year Old Child
Transverse fracture of tibia in a six-year-old child.
The fracture was treated with above knee cast.
Image 32 – External Fixator In Tibia With K-wires In Heel – Xray
Twenty-five years old male came with a request to remove the external fixator and K-wires that had been used to treat open fracture tibia and heel flap avulsion injury.
His latest x-ray revealed the following.
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 the roof of the truck while sleeping and injured his leg. Xray revealed a minimally displaced highly comminuted fracture of tibia in the lower third of the leg.
The fracture was treated with above knee cast. The x-ray 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 the tibia in 37 years old male injured in a motor vehicle accident.
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 the nonunion of the upper tibial fracture. Open reduction and internal fixation using the upper tibial plate was done. In addition, bone grafting was done using bone from ipsilateral [same side] iliac crest.
Following x-ray is taken after 4 months of surgery.
The fracture shows good union in both the views.
Image 36 – Xray of Fracture of Proximal Tibia
Xray of the knee with leg showing a fracture of the proximal tibia.
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 an injury in a motor vehicle accident.
Had comminuted fracture of distal tibia along with lateral malleolus fracture.
An open reduction and internal fixation were carried for both the fractures.
Tibia was fixed with distal tibia anatomical plate and fibula was fixed with a one-third tubular plate.
Here is the clinical photograph showing well fitting distal tibia anatomical plate.
Postoperative x-ray shows a good reduction. Also visible in this view is fibula fixation plate.
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 x-ray of 56 years old male 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
The fracture alignment is in an acceptable position.
Image 40 – Inadequate Fixation of Fracture Tibia With Non-Union
The following x-ray is of 39 years old patient who came with a history of tibia fracture which was fixed with plating about 4 months ago.
AP and lateral views of fracture was done
As seen in the x-ray there is nonunion of the tibia fracture and the implant is also inadequate. If you look carefully, the implant used here is narrow dynamic compression plate whereas in adult tibia recommended an implant for plating is broad dynamic compression plate.
Moreover, only, four cortices have been used in the proximal fragment of the fracture [There are only two screws] instead of recommended six four cortices [six screws].
Image 41 – Xray of Congenital Pseudarthrosis of Tibia with Fracture
Congenital pseudarthrosis of the tibia is a rare condition characterized by bowing [bending] of the tibia, with tapering of the tibia at the defective site.
Above x-ray is of 6 years old child with fractured congenital pseudarthrosis of the tibia.
Image 42 – Xrays and Clinical Photographs of Proximal Metaphyseal Fracture Left Tibia
[By Dr. Sreenivasulu Metikala, SVS Medical College & Hospital, Mahabubnagar, A.P., India.]
Following is series of x-ray of a 62-year-old male with a closed proximal metaphyseal fracture left tibia with an intact fibula. The patient was referred to our institute, a week after the injury.
Here is the x-ray of the leg after the proximal metaphyseal fracture of the tibia.
She had a lot of blebs at the time of presentation, which took another week to heal. Following is the clinical photograph of healed skin before taking the patient for surgery.
The patient was taken for open reduction and internal fixation of a proximal metaphyseal fracture of tibia under epidural anesthesia.
Following photograph is taken after plating
The wound was closed in layers. Staples were used for skin.
The patient was put on physiotherapy beginning from the second postoperative day. The fracture united well in about three months as shown below.
The patient achieved a good range of motion of the knee.
25+ More Images and Radiographs of Fractured Tibia Fibula
Tibia and fibula fracture often occur together. The levels of fracture could be the 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 Fibula Fracture with Previous United 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 an 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 the upper end of the 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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