![]() ![]() 5 Other treatment methods included open reduction and internal fixation (ORIF), 5 external frame fixation, 5 cerclage wire fixation, 12, 13 and manipulation of the fracture under anesthesia (MUA) followed by cast immobilization. 5 Recommended management techniques are patellar tendon–bearing casting for nonoperative intervention and intramedullary (IM) nailing for operative intervention. 5 Current recommendations advocate nonsurgical management for undisplaced fractures and surgical management for displaced fractures. 4 As such, it is necessary for surgeons to be able to manage these fractures optimally and to be able to inform patients on the likelihood and time frame of return to sports activity after such injuries.Īs with any acute fracture, the management of tibial shaft fractures involves anatomical fracture reduction with adequate fracture immobilization to allow optimal fracture healing, followed by timely rehabilitation to facilitate the return of normal physiological functioning. 6 One-quarter of all tibial shaft fractures are incurred during sporting activity, and, with rapidly increasing participation levels in sports, the incidence of this injury will likely continue to rise. 26, 27 Accounting for 4% of all acute sports-related fractures, this injury comprises a major source of morbidity for affected athletes. Acute tibial shaft fractures represent one of the most severe injuries in sports, resulting in the longest return-to-sport timing among sports fractures. ![]()
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