Request information and/or book a visit
© 2012-2024 Isokinetic Medical Group Srl
P.Iva 03740671205 – Cap. Soc. Int. Vers. Euro 10.400 – Reg. Imp. n.03696800378 – R.E.A. n.309376

The tibia often referred to as shinbone, and fibula, are the two bones that constitute the leg, connecting the knee with the ankle. Due to its thick and resilient structure, the tibia has the paramount function of supporting the body weight and transferring it to the ground during functional activities. Differently from the tibia, the fibula does not carry a significant load, however, it has the vital function of forming the ankle joint (together with the tibia and talus) and providing a connection for different muscles of the leg. Fractures to these bones can happen with both low- and high-energy mechanisms. High-energy injury mechanisms are typically due to direct trauma reported to the leg where an external body impacts the bones, such as in motor vehicle accidents. In older populations, or in subjects affected by specific conditions that make the bone more fragile (e.g.: osteoporosis), tibia and fibula fractures can happen also with low-energy mechanisms. Fractures affecting these bones can lead to significantly different symptomatology depending on the injured district, mechanism, and severity of the fracture. Patients with these injuries typically present severe pain in the leg, swelling, large bruises, potential deformity of the leg, and significantly impaired functioning (e.g.: inability to bear weight, walking, etc). Aside from collecting data from the injury mechanisms and performing a physical assessment of the patient, an imaging examination (e.g.: x-ray and computed tomography) is required to optimally visualise the fracture specifics.
The management of patients affected by tibia and fibula fractures strongly depends on the injured structure (only tibia or fibula, combined injury, etc.), their location (proximal, central, distal), the specifics of the fracture itself (e.g.: displaced, non-displaced, etc.), and the characteristics of the affected patients (e.g.: age). Due to the traumatic nature of these injuries, tibia and fibula fractures are typically treated surgically with multiple available procedures that can be performed (open reduction internal fixation, external fixation, intramedullary nailing, etc.) that are always discussed between the patient and the medical team. In case of minor, non-displaced fractures, a conservative treatment approach, consisting of the implementation of a boot and crutches to protect and offload the injured structure, can be considered. Regardless of the implemented injury management, a rehabilitation programme is necessary to optimise the outcomes and minimise any potential complications. In Isokinetic, your rehabilitation process will be structured in different stages and take place in four different environments, the pool, the gym, the movement analysis and retraining room and the pitch. In the early stages, the main goals are to restore the homeostasis by reducing pain and swelling, recover the potentially impacted knee and ankle mobility, and gradually restore lower limb functioning. In the mid-stage of rehabilitation, lower limb strength and endurance recovery become the priority, together with the optimisation of the general movement quality to learn how to effectively distribute the load among different joints. Finally, to complete the recovery process, on-field rehabilitation plays a fundamental role in allowing our patients to return to participate in their favourite activities, maximising their outcomes and reducing the likelihood of complications.
© 2012-2024 Isokinetic Medical Group Srl
P.Iva 03740671205 – Cap. Soc. Int. Vers. Euro 10.400 – Reg. Imp. n.03696800378 – R.E.A. n.309376