Treatment / Fractures / Tibial Fracture Repair

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FRACTURES | LAS VEGAS

Tibial Fracture Repair

Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas, Nevada

Understanding Tibial Anatomy

The tibia is the primary weight-bearing bone of the lower leg. Tibial fractures range from simple stable injuries to complex high-energy fractures with significant soft tissue involvement. The tibia has limited soft tissue coverage, making wound management an important consideration in surgical planning.


Dr. Andrew Lee at Nevada Spine Clinic and Southern Hills Hospital in Las Vegas evaluates each fracture individually to determine the most appropriate fixation strategy based on fracture pattern, bone quality, and patient goals.

Fracture Types and Patterns

  • Tibial Shaft Fracture: Fracture of the midshaft tibia typically treated with intramedullary nail fixation.
  • Tibial Plateau Fracture: Fracture involving the knee joint surface requiring precise reduction and plate fixation to restore articular congruity.
  • Pilon Fracture: High-energy fracture involving the ankle joint surface requiring staged fixation.

When Surgery Is Required

Most displaced tibial fractures require surgical stabilization to restore alignment and allow early mobilization. Dr. Andrew Lee at Nevada Spine Clinic and Southern Hills Hospital in Las Vegas evaluates each tibial fracture carefully to determine
the most appropriate surgical approach.

Tibial Fracture Repair

Tibial shaft fractures are most commonly treated with intramedullary nailing, which provides stable fixation with minimal soft tissue disruption. Tibial plateau fractures involving the knee joint surface require plate and screw fixation to precisely restore articular congruity and minimize the risk of post-traumatic arthritis.

The primary goals of this procedure are to:
  • Restore tibial alignment and stability
  • Reconstruct joint surfaces when involved
  • Allow early rehabilitation
  • Achieve solid bone healing

Potential Risks

  • Infection: Fracture fixation carries infection risk. Preventive antibiotics are given and proper wound care is essential during recovery.
  • Nonunion: The fracture may fail to heal requiring additional surgical intervention.
  • Malunion: The fracture may heal in a non-anatomic position affecting function.
  • Hardware complications: Implant loosening or breakage may require revision.
  • Post-traumatic arthritis:  Joint fractures can lead to accelerated arthritis despite optimal treatment.
  • Nerve or vascular injury: Risk varies by fracture location and surgical approach.

Postoperative Recovery

Recovery depends on fracture severity, fixation achieved, and patient factors. Dr. Andrew Lee at Nevada Spine Clinic in Las Vegas provides individualized rehabilitation guidance to optimize bone healing and functional recovery.

Weight bearing restrictions and activity timelines are determined at follow-up appointments based on fracture healing progress on imaging.

What to Expect After Surgery

Pain decreases progressively as healing occurs over six to twelve weeks. Functional recovery continues for three to six months following surgery. Dr. Lee monitors healing with imaging at regular follow-up visits.

Most patients return to independent daily activity within six to twelve weeks, with full recovery over three to six months depending on fracture complexity and patient factors.

Do not soak your wound.

No bathtub, swimming, or hot tub until cleared by Dr. Lee.

Wound Care and Medication Management

Follow all wound care instructions at discharge. Avoid soaking the incision in water until cleared by Dr. Lee. Pat the wound dry after showering and apply a clean bandage.

Monitor the incision for increasing redness, warmth, swelling, or drainage and contact Nevada Spine Clinic immediately if any of these occur. Prescription refills require forty-eight hours advance notice.

Activity Guidelines After Surgery

Follow the specific weight bearing restrictions provided by Dr. Lee. These are individualized to your fracture pattern and the fixation achieved at surgery. Do not bear weight beyond prescribed limits until cleared at follow-up.

Contact Nevada Spine Clinic or go to the nearest emergency room for fever, sudden increase in pain, inability to bear weight as previously tolerated, or wound concerns.

CALL US IF YOU EXPERIENCE

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No bathtub, swimming, or hot tub until cleared by Dr. Lee.

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Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas

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