Conservative treatment of distal fibula fracture

Distal fibula fracture is also quite common in life. Generally speaking, don’t worry too much about this kind of fracture. As long as the connection is done well during treatment, the recovery time will be relatively short. This conservative treatment method is also better. Of course, you should take X-ray examinations in time. You should eat more high-protein foods in daily life, which will help the fracture to recover better. Let’s take a look at this aspect.

Conservative treatment of distal fibula fractures

If the distal tibia and fibula fracture is not dislocated and the alignment is good, it can be treated conservatively. In this case, you should go to the orthopedics department of a regular hospital, take an X-ray and make a decision based on the specific situation. Generally, you can use plaster to fix the bone, pay attention to eating calcium-rich foods, take appropriate calcium supplements, and take anti-inflammatory and bone-setting drugs under the guidance of a doctor.

Imaging structure

1. Frontal position of the fibula (Fig. 6-1-35). On the AP view of the fibula, the fibular head partially overlaps the lower part of the lateral tibial condyle. The upper end of the fibular head protrudes upward, called the fibular styloid process. The spongy tissue inside the fibular head is relatively sparse, and sometimes local areas of reduced density may appear.

The fibula shaft is particularly slender, presenting a typical tubular bone shadow, with a thicker outer cortex and a thinner inner cortex, and sometimes a lighter edge, which is the interosseous ridge shadow.

The lower end of the fibula forms the lateral malleolus, which is a triangle with the tip facing downward. Its inner surface corresponds to the talar trochlea and participates in the formation of the ankle joint. Sometimes a lighter groove can be seen at the lower end of the lateral malleolus, which is the lateral malleolar groove. Above the lateral malleolus, the fibula and the lower end of the tibia overlap or correspond with each other, leaving a gap.

2. Lateral view of the fibula (Figure 6-1-36). The anterior part of the fibular head overlaps with the tibia, and the fibular shaft is a typical long tubular bone. The lateral malleolus is passed downward through the ankle joint space into the talar trochlea shadow. In the shadow overlapping with the talar trochlea, the medial malleolus is in front and the lateral malleolus is in the back.

Related diseases and treatments

1. The incidence of fibula fractures is relatively high clinically, and they are often combined with tibial fractures in ankle fractures, tibia and fibula fractures, including specific types of pilon fractures.

2. Classification: According to the different situations of fibula fracture, it was divided into: ① fibula shaft fracture (fracture line more than 8 cm away from the fibula tip) 14 cases, ② simple lateral malleolus fracture (fracture line less than 8 cm away from the fibula tip) 18 cases, ③ ankle fracture (fibula fracture line less than 8 cm away from the fibula tip) 26 cases, ④ ankle fracture (fibula fracture line more than 8 cm away from the fibula tip) 40 cases, ⑤ tibia and fibula fracture (tibia and fibula fracture lines at the same level) 25 cases, ⑥ tibia and fibula fracture (tibia and fibula fracture lines at different levels) 38 cases, ⑦ Pilon fracture 21 cases, all fractures were closed fractures.