Tibia and Fibula Fractures: Causes, Symptoms, and Treatment

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The human lower leg is a complex structure composed of two long bones, the tibia, and fibula. These bones play a crucial role in supporting body weight and facilitating movement. Unfortunately, fractures of the tibia and fibula can occur due to various reasons, leading to pain, swelling, and impaired mobility. In this article, we will delve into the causes, symptoms, and treatment options for tibia and fibula fractures.

Causes of Tibia and Fibula Fractures:

Tibia and fibula fractures are frequently caused by traumatic incidents, including falls, sports-related injuries, or car accidents. The extent of the fracture can vary from a minor hairline crack to a complete break, contingent on the force exerted. Moreover, specific medical conditions, such as osteoporosis, may compromise bone strength, increasing the vulnerability to fractures.


  1. Pain: Tibia and fibula fractures often produce substantial pain, especially during weight-bearing activities or mobility.
  2. Swelling: As the body responds to the injury by boosting blood flow and fluid to the damaged site, swelling around the injured area is a common symptom.
  3. Bruising or discoloration: The presence of bruising or discoloration may suggest injury to blood vessels near the fracture.
  4. Deformity: In severe situations, the limb may appear deformed, indicating a displaced fracture in which the broken ends are not properly aligned.
  5. Limited Range of Motion: Fractures can limit the typical range of motion in the affected leg, making routine movements like walking or bending the knee difficult.

Treatment Options:

  1. Immobilization: Mild fractures may be addressed through immobilization using a cast or brace, serving to stabilize the bones and encourage natural healing.
  2. Rest and Elevation: Elevation of the injured leg coupled with refraining from weight-bearing activities can reduce swelling and support the healing process.
  3. Pain Management: Alleviating discomfort during the recovery phase may involve the recommendation of over-the-counter or prescription pain medications.
  4. Physical Therapy: Rehabilitation exercises are integral to the restoration of strength, flexibility, and functionality in the affected leg. A customized program devised by a physical therapist contributes to healing and guards against potential complications.
  5. Surgical Intervention: Severe fractures or those displaying significant displacement may necessitate surgical intervention. This might entail the use of screws, plates, or rods to realign and stabilize the fractured bones.

Complications and Recovery:

Complications of tibia and fibula fractures may include delayed healing, non-union (failure of the bones to heal), and the development of post-traumatic arthritis. Recovery time varies depending on the severity of the fracture and the chosen treatment approach. It is essential for individuals to follow their healthcare provider’s recommendations and attend regular follow-up appointments to monitor progress.


Fractures of the tibia and fibula can exert a substantial influence on an individual’s daily life; however, with accurate diagnosis and appropriate treatment, most individuals can attain complete recovery. Swiftly seeking medical attention, adhering to prescribed treatment regimens, and actively participating in rehabilitation exercises are crucial measures in reclaiming normal functionality and averting potential long-term complications. In the event of suspected tibia or fibula fractures, consulting with a healthcare professional is imperative for precise diagnosis and suitable management.

Tibia and Fibula Fractures FAQ

The recuperation period for a fractured fibula can extend to six weeks or beyond. Healing for a fractured tibia is even more prolonged, lasting between four to six months or potentially longer. Pain management during this recovery phase may involve the prescription of opioids or anti-inflammatories.
The fibula doesn't bear weight, meaning it doesn't support the body during standing or movement. Consequently, some individuals can walk despite having a fracture. Nevertheless, it's essential not to disregard any pain or other symptoms in the leg. Even if you can still move or walk, it is advisable to promptly have your injury assessed by a healthcare provider or seek attention in the emergency room.
An internal fixation technique called open reduction and internal fixation (ORIF) is used to stabilise a fractured bone and encourage its healing process. This intervention may be required if the shin bone (tibia or fibula) is shattered. Interestingly, the larger of the two bones in your lower leg is called the tibia, or shin bone.
The onset of severe pain is typically the initial symptom accompanying a fracture of the tibia and fibula. In the case of an open fracture where the skin is broken, bleeding may also occur. Closed fractures, where the skin remains intact, are often characterized by the presence of bruising as a key symptom.


If you would like an appointment / review with our tibia and fibula fractures specialist in Singapore, the best way is to call +65 3135 1327 or click here to book an appointment at the clinic. If you would like to speak to one of our clinicians first, then please contact contact@orthopaedicclinic.com.sg or SMS/WhatsApp to +65 3135 1327.

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