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Broken Shin Bone (Tibia Fracture)

Tibial shaft fractures are breaks in the main shin bone (tibia) between the knee and ankle - they commonly result from high-energy injuries like motor vehicle accidents or sports injuries, and cause severe pain, swelling, inability to walk, and visible deformity - open fractures (bone breaking through skin) occur in 20-30% of cases due to thin soft tissue covering the shin bone - treatment depends on fracture stability: minimally displaced fractures can be treated with casting (4-6 months healing), while displaced or unstable fractures require surgery with intramedullary nail (rod down center of bone) or plate fixation achieving 85-90% union.

📅Last reviewed: January 2026đŸĨBones & Joints

📖What is Broken Shin Bone (Tibia Fracture)?

Tibial shaft fractures are breaks in the main shin bone (tibia) between the knee and ankle - they commonly result from high-energy injuries like motor vehicle accidents or sports injuries, and cause severe pain, swelling, inability to walk, and visible deformity - open fractures (bone breaking through skin) occur in 20-30% of cases due to thin soft tissue covering the shin bone - treatment depends on fracture stability: minimally displaced fractures can be treated with casting (4-6 months healing), while displaced or unstable fractures require surgery with intramedullary nail (rod down center of bone) or plate fixation achieving 85-90% union.

đŸ”ŦWhat Causes It?

  • Motor vehicle accidents (high-energy trauma causing displaced, comminuted fractures)
  • Sports injuries (skiing, football, soccer - twisting or direct blow to shin)
  • Falls from height landing on legs
  • Motorcycle accidents (high risk open fractures)
  • Pedestrian struck by vehicle (direct impact to shin)

âš ī¸Risk Factors

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You may be at higher risk if:

  • High-risk activities (motor vehicle occupant, motorcyclist, contact sports)
  • Osteoporosis or low bone density (increases fracture risk from lower energy trauma)
  • Previous tibial fractures (refracture risk if healed with deformity)
  • Smoking (increases nonunion risk 3-4 times)
  • Diabetes (impaired healing, higher infection risk)

đŸ›Ąī¸Prevention

  • ✓Use seatbelts and follow road safety (motor vehicle accidents major cause)
  • ✓Wear proper protective equipment during contact sports (shin guards)
  • ✓Maintain bone health with adequate calcium/vitamin D and exercise
  • ✓Address osteoporosis if present (reduces fracture risk from lower energy trauma)
  • ✓Avoid smoking (improves bone healing if fracture occurs)