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Doctor insights on: Distal Tib Fib Fracture

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Dr. Thomas Fiala
792 Doctors shared insights

Fracture (Definition)

A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more


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I have a 32 CM titanium rod in my leg from a bad tib/fib fracture. Just out of pure curiosity, I was wondering how much that rod costs and weighs?

I have a 32 CM titanium rod in my leg from a bad tib/fib fracture. Just out of pure curiosity, I was wondering how much that rod costs and weighs?

Ask manufacturer: I've personally 'rodded' many tibia fractures through the years and removed many as well. Not exactly sure how much a 10 by 320mm titanium nail weighs but surely less than 16 ounces;#40;u can pick it up easily w/ your index finger to balance it;#41;.As far as cost this is trickier;#40; actual cost in manufacturing not sure... The cost to patient/hospital between 5 and 6 thousand $$ w/ interlocking screws! ...Read more

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If screws from tib/fib fracture bother you, when should I get them removed? What is recovery time? Division 1 women's soccer player looking for help!

If screws from tib/fib fracture bother you, when should I get them removed? What is recovery time? Division 1 women's soccer player looking for help!

Once fx is healed: Once the im nail has done the job of allowing your fracture to heal, it actually becomes somewhat superfluous. Surgeons do not like to remove the actual nail unless necessary, as there is a residual increased risk of reinjry/re-fracture (hollow bone). The locking screws, if prominent and bothersome, can be removed on a case by case basis based upon your surgeon's recommendation once the healed. ...Read more

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Fracture tib/fib, 4 years ago; swelling and pain treated 6 weeks bactrim; swelling with no pain recurred; resolved but serosaguinous exudate overlying?

Fracture tib/fib, 4 years ago; swelling and pain treated 6 weeks bactrim; swelling with no pain recurred; resolved but serosaguinous exudate overlying?

Was there any test: Did the doctor order any x-rays or any other test to determine the cause of the exudate? Any cultures to see what is growing? May have bone infection. Bactrim (sulfamethoxazole and trimethoprim) might not the be effective antibiotics and maybe an IV antibiotic is needed. You should definitely not wait too much longer and ask your doctor to do further evaluation. ...Read more

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50 yr old, fractured tib /fib 1.5 yr ago in ankle joint, ss & ttum removed alergic, cannot move joint to left, will this be permant? Nerve damage n jt

50 yr old, fractured tib /fib 1.5 yr ago in ankle joint, ss & ttum removed alergic, cannot move joint to left, will this be permant? Nerve damage n jt

Need more information: This will depend on what your Imaging And other studies show. I am uncertain what some of your abbreviations mean. It depends what type of nerve damage you have and whether there is bone on bone fusion which will not allow you to move the joint. Your physician will evaluate each of these aspects to help make a decision as to your best therapy ...Read more

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I had an open tib/fib fracture 7 years ago my dr didn't set my fib because it is a non weight bearing bone. Still have leg pain is it because fib?

I had an open tib/fib fracture 7 years ago my dr didn't set my fib because it is a non weight bearing bone. Still have leg pain is it because fib?

Unlikely: It is fairly unlikely, but not impossible, by now the fracture is likely healed. It is more likely that in the same injury you also injured some soft tissues in the area such as a ligament or tendon. Consider requesting an MRI if you are having trouble with it. ...Read more

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Are there any little tricks to speeding up the recovery of a broken bone? Any help is welcome, please... I'm a collegiate women lacrosse player, and broke my leg skateboarding 2 & 1/2 weeks ago. I completely dislocated my ankle, and fractured my tib/fib. I

Are there any little tricks to speeding up the recovery of a broken bone? Any help is welcome, please... I'm a collegiate women lacrosse player, and broke my leg skateboarding 2 & 1/2 weeks ago. I completely dislocated my ankle, and fractured my tib/fib. I

There: There is nothing in the current state of technology that accelerates bone healing. However, there are ways to slow it down. Too much activity too soon can cause motion at the fracture site that disrupts the healing tissue. Infection (more often with surgery, but can rarely happen without surgery) also delays healing. Smoking or any source of nicotine also slows bone healing, though I assume at your level of athletics, you are not a smoker. Anti-inflammatories (advil, aleve, aspirin, etc.) can be the hidden factor in a bone not healing and should be used sparingly, if at all.

I agree that ligament healing after a dislocation is equally important with bone healing and can take longer. Some severe ligament injuries, such as the syndesmosis which holds the tibia and fibula together, can take more than 3 months to heal.

While bone stimulators--devices that use electricity, magnets, or ultrasound to create an electrical field around the bone and promote healing--can help in people at risk for poor healing, they don't decrease healing time enough to get you back for the spring and do nothing to promote ligament healing that we're aware.

It is very important to get good nutrition, including protein, calcium, and vitamin d for bone healing. It is also important to maintain whatever muscles you can by moving the parts that are not immobilized for the fracture/dislocation.

While I assume the fractures occurred near your ankle, fractures higher in the leg also take a lot longer to heal, with the average time of healing being about 16 to 18 weeks for the midshaft tibia.

Good luck with your recovery, but it looks like you're in a red shirt! ...Read more

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Is it possible to feel/know my ankle fracture is Healing? 5 weeks post distal fib break. Swelling gone and no pain and I feel good. Thanks.

Is it possible to feel/know my ankle fracture is Healing? 5 weeks post distal fib break. Swelling gone and no pain and I feel good. Thanks.

Ankle fracture: This is a normal process that occurs with fracture healing initially there is a significant amount of discomfort due to disruption of the covering of the bone which has nerve endings in it. As time goes on as the fracture heals the discomfort lessons. This is the clinical indicator that the fracture is healing, Radiographically or when the x-rays are taken there may still be fracture lines evident. This is all normal and expected ...Read more

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Oblique distal fib fracture, ORIF. Getting cast off 5 weeks post OP, 6 weeks post break. Told ill be able to walk and will be ok. Is this right?

Oblique distal fib fracture, ORIF. Getting cast off 5 weeks post OP, 6 weeks post break. Told ill be able to walk and will be ok. Is this right?

Potentially: The distal portion of the fibula does not bear much weight, so early weight bearing can be a consideration. Certainly would need to be protected from "twisting" your ankle until it is clearly healed. Don't hesitate to discuss any concerns directly with your doctor. ...Read more

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Is a cam walker enough support for a 4 wk old avuls. Fracture of distal fib that is still swollen or should I strap as well? Not weight bearing.

Is a cam walker enough support for a 4 wk old avuls. Fracture of distal fib that is still swollen or should I strap as well? Not weight bearing.

Compression bandage: Yes, I think a compression bandage would be a good idea. Unless you have a pneumatic camwalker (ie one that you can pump air into) they tend to be too loose to provide enough immobilization and compression. Since you still have swelling, I think that a compression bandage that you wrap around your foot and ankle every morning and remove every night would be very helpful. ...Read more

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I fractured my tibia and fibula in December. Is it normal to still have pain in the area 10 months on? Finding it's been aching a lot recently

I fractured my tibia and fibula in December. Is it normal to still have pain in the area 10 months on? Finding it's been aching a lot recently

Maybe: You should follow up with your orthopaedic surgeon. Fractures are normally healed by this point, but there can be many causes of pain including nonunion, malunion, infection, and various other soft tissue derangements. ...Read more

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Can you get a fracture of the tibia and fibula?

Can you get a fracture of the tibia and fibula?

Certainly: Yes and its a significant injury
it can happen in a bad twisting fall or a car
accident
many fractures such as you describe will
need surgical fixation for the best result of the
injury
some that are nondisplaced will just require
a prolonged period of immobilization. ...Read more

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How long it takes the tibia and fibula to heal naturally of a displaced to same position and direction fracture.?

Breaking Bad.: I am not quite sure what you mean by "displaced fractures of tibia and fibula healing naturally". It sounds like you mean with no fracture reduction or fixation. You might rephrase your question. ...Read more

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How to speed up fracture healing of tibia and fibula?

How to speed up fracture healing of tibia and fibula?

Ultrasound: Tibial shaft fracture are slow healers. The average time to healing in a simple tibia fracture is about 4.5 months. There is one study that suggests applying a medical device that emits pulses of ultrasound waves to the bone for twenty minutes a day can decrease the healing time approximately by three weeks. You can argue if this is a benefit or not in a slow healing fracture. ...Read more

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How long should swelling last with compound fracture of tibia and fibula?

How long should swelling last with compound fracture of tibia and fibula?

Variable: Can last for awhile but see your surgeon to rule out infection... ...Read more

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What is the typical healing time for a compound fracture of the tibia and fibula?

What is the typical healing time for a compound fracture of the tibia and fibula?

Unpredictable: The healing time is very dependent on the amount of soft tissue damage that occurs at the time of the fracture. Compound fractures are those that have an opening in the skin associated with them, but it's not the opening but rather the amount of skin, tissue and bone loss as well as possible injuries to blood vessels and nerves that determines the time for healing. ...Read more

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I suffered a compound fracture of the tib and fib (L) also a cracked patella (L) at age 22 now I'm experiencing "growing pain" like symptoms at age 26?

Be seen: At 26, your growth is certainly complete and so your pain is likely coming from something else. A detailed exam and X-ray will likely determine the cause. Consider being seen. ...Read more

Dr. Jeffrey Wint
2,314 Doctors shared insights

Broken Bone (Definition)

Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more