What is included in emergency department (ED) care for proximal tibia fractures?

Updated: Nov 30, 2017
  • Author: Jeffrey G Norvell, MD, MBA, RDMS; Chief Editor: Trevor John Mills, MD, MPH  more...
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Intra-articular fractures require reduction and internal fixation.

Other methods to surgically repair proximal tibia fractures include external fixation, plating, and intramedullary nailing.

Closed treatment involves reduction and the placement of a long leg cast. Intact extensor mechanisms can make it difficult to maintain good fracture alignment.

Tibial shaft fractures that are closed may be treated with cast immobilization if alignment is good or with intramedullary nailing.

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