In a tibial plateau fracture, the fracture involves the cartilaginous surface of the joint in the knee. The external fixator is used when there are open fractures and significant soft tissue damage. An external fixator may also be used, especially in severe fractures. Plates and screws are not as commonly used as rods but can be used in those shaft fractures held close to the ankle. The rods are held in place with screws placed above and below the rod. It is done in the operating room and requires about an hour of operating time. Some patients can have intramedullary rods placed in the center of the bone on both ends of the fracture. It can be treated by casting from the foot to above the knee. These can occur after a fracture from a height, automobile accidents, sports incidents, and other recreational activities. There are also impacted fractures of the distal tibia, which require special care. They need special care because of the possibility of ankle arthritis. These occur up near the knee and can lead to knee arthritis, even when treated adequately. Some need surgery if they are significantly displaced or angulated. These are the most common type of tibial fracture and occur in the shaft or midportion of the tibia. The three categories of fractures include the following: Tibial fractures are separated into three different categories, not including open fractures, which require special treatment and which can occur anywhere in the tibia. It can hold up to 4.7 times the bodyweight, which tells you the kinds of forces necessary to fracture this bone. ![]() It forms the ankle joint along with the fibula and connects to the talus. The lower part of the tibia is smaller than the upper part and forms five different surfaces and the process known as the medial malleolus. The shaft of the tibia forms a triangular shape along its borders: an anterior, medial and lateral border. Together the condyles form the tibial plateau. The space between the flattened condyles is where the cruciate ligaments and menisci lie. The upper surfaces of each condyle connect to the femur, which forms the weight-bearing part of the knee joint. The most proximal part of the knee is associated with the medial and lateral condyle. The upper epiphysis is near the knee and the lower epiphysis is near the ankle. The diaphysis is the shaft of the bones and the epiphyses are the two ends. As a long bone, it has two epiphyses and one diaphysis. It is the second biggest bone besides the femur. The tibia is believed to be the strongest weight-bearing bone of the body. The tibia is closely connected to the fibula by the interosseous membrane, which forms a joint called the syndesmosis just proximal to the ankle. The lower joint connects the lower tibia to the talus at the ankle joint. Its upper joint connects the tibia to the femur in the knee. ![]() It is also called the shinbone and is the bigger bone of the two long bones of the lower leg. The tibia is one of the main weight-bearing bones on the body.
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