Tibia fractures (lower extremity)

A 15-year-old female, avid soccer and volleyball player, noted progressive onset of right-sided shin pain during her athletic training over the course of several weeks.

Radiographs taken at a local hospital revealed a minimally displaced mid-shaft tibia stress fracture. She was initially treated with cast immobilization for 3 months. She was referred to us at 6 months for treatment of a malunion with bridging callus on the lateral cortex and 13° of valgus angulation.

Operative treatment was planned and performed including correction of the deformity and insertion of an intramedullary(IM) nail and locking screws.

She returned for regular follow-up visits and at 3 months following surgery she had excellent radiographic and clinical results including a healed tibia fracture, resolution of pain and full range of motion of the knee and ankle joints. She returned to all pre-injury activities at 4 months. At 1 year following surgery the hardware was removed.

  • Figure A, B

    Figure A, B

    (A) Anteroposterior (AP) and lateral radiographs reveal a minimally displaced mid-shaft tibia stress fracture (left); AP and lateral radiographs at 6 months following the injury illustrating a malunion with 13° of valgus deformity (right).

    (B) AP and lateral radiographs 6 months following surgery illustrating a healed tibial malunion in excellent alignment (left); Intraoperative fluoroscopic images following removal of hardware at 12 months (right).


Tags: ,

Our Patients

  • “Most definitely worth traveling across the country!”

    ~ H. Hope Hamill

    Read Full Story

  • “Dr. David Helfet had looked at my leg, immediately rushed me to the OR and did a 4 compartment release saving my only leg!”

    ~ Dawn Bray

    Read Full Story

  • “I got back up on my snowboard a month ago!”

    ~ Patricia Sykes

    Read Full Story

  • “I was able to return to my passion, which was skiing big mountains.”

    ~ Tim DiPietro

    Read Full Story

  • “I told Dr. Helfet that he’s my hero. Without him, I would never have had the life I am living.”

    ~ Maxime Heinsbroek

    Read Full Story

  • “I immediately felt taken care of and safe after a traumatic time.”

    ~ Kathleen Wells

    Read Full Story

  • “There was the possibility for the first time to live a full and adventurous life that I had always dreamed of.”

    ~ Devon Reynolds

    Read Full Story

David L. Helfet, MD

535 East 70th Street
New York, NY 10021

212-606-1888 phone
212-628-4473 fax

New York Fracture Care

Contact Us

David L. Helfet, MD 

Dean G. Lorich, MD

David S. Wellman, MD