80% have associated fibular fractures
Open (24% are open) vs. closed
Extent of soft tissue damage
Gustilo–Anderson classification of open fractures:
History of trauma
Pain is usually immediate, severe, and well localized to the fracture site.
Visible or palpable deformity at the fracture site
Look for associated injuries in high-energy mechanisms.
Assess for neurologic or vascular compromise.
Adequate immobilization is essential to prevent further injury.
Soft tissue involvement
Risk for compartment syndrome
All open fractures
Displaced, angulated, transverse, shortened, comminuted...
High incidence of associated injuries in high-energy trauma:
Associated injuries commonly include:
Femoral fractures (“floating knee injury”)
Deep venous thr...
Browner BD. Fractures of the tibial shaft. In: Skeletal Trauma. 4th ed. Philadelphia, PA: WB Saunders Co.; 2008.
Green NE, Swiontkowski MF. Fractures of the tibia and fibula. In...
823.20 Closed fracture of shaft of tibia alone
823.22 Closed fracture of shaft of fibula with tibia
823.32 Open fracture of shaft of fibula with tibia
823.21 Closed fracture of shaft of fibula ...
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