Recovery Plan for Broken Leg Joints (Tibia or Fibula) - Moriarty Physical Therapy
A tibia fracture results from a rolled ankle with significant weight bearing forces impacting the trauma. Tibia fractures occasionally occur in running and jumping sports involving change of direction. The fibula is a bone in the leg located between the knee and ankle joints that. The tibia and fibula are broken down into regions: You can also break the entire joint where the three bones meet or the joint in between the tibia and fibula . There are two bones that make up the lower leg: the tibia and the fibula. When the tibia breaks, there are typically accompanying injuries because it takes a.
A Tillaux fracture is a Salter-Harris III but with avulsion of the anterolateral corner of the distal tibial epiphysis.
A pilon fracture is where there is an axial load on the tibia and the talus is pushed into the tibia plafond. If the fracture is non-displaced or very distal, it is unlikely to require surgery. It would usually be treated with a short leg cast, and weight bearing would be avoided for six weeks. If it is displaced or the ankle is unstable, then surgery may be required to avoid non-union, so speak to the ortho team.
- Ankle Pain
- Tibia/Fibula Fracture Open Reduction and Internal Fixation
- Ankle x-rays
Usually when this has happened, there is also a lateral malleolus fracture because they share ligament attachments. The ankle can be unstable if a large piece is broken and therefore surgery may be indicated — so speak to the ortho team.
Tibia Fracture - Broken Shinbone - Patient Education | Impact Orthopaedics
An untreated posterior malleolus fracture can lead to arthritis because of the disruption to the cartilage surface. If the fracture is not displaced then it would usually be treated with a short leg cast, and weight bearing would be avoided for six weeks.
This fracture carries a high risk of avascular necrosis. If the fracture is non-displaced then it can be managed with a short leg cast or a boot.
Movements are slow and controlled. Once flexibility and mobility begins to improve, strengthening exercises begin. Tibia fracture exercises include one legged wall squats, leg lifts and leg curls. The following is an example of a tibia fracture rehab program. These steps are directional at best, consult your physical therapist before beginning any rehabilitation exercise program.
Stage One 1 to 2 weeks Non-weight bearing and walking with crutches. Early quads and hip exercises. Stage Two 2 to 4 weeks Non-weight bearing and walking with crutches.
Anatomy of the Foot and Ankle & Common Problems
Stage Three 4 to 6 weeks Change of full leg cast often to below knee cast. Knee bending activity getting the quadriceps restored. Slowly increase weight bearing as pain allows.
General upper body and overall fitness. Stage Four 6 to 12 weeks 8 week check often more X-rays and a further cast or review of metalwork. Aim for full weight bearing weeks. Work on knee and ankle mobility. Balance and muscle tone are areas that affect longer term disability. Exercising in the pool is helpful for rehabbing a tibia or fibula injury.
The water reduces the stress of gravity on your leg while at the same time providing resistance that will help build strength. Your physical therapist may recommend jumping jacks in shoulder-deep water, holding onto the side of the pool and kicking your legs, using a kickboard to propel yourself across the pool and jogging in water that is chest or shoulder deep while using a weighted belt to help keep you erect.