Injuries of Lower Limb
Prognosis of healing in tibial fractures correlates best with:
|A||Energy absorption at the time of fracture.|
|B||Amount of soft tissue damage.|
|C||Location of the fracture (i.e., in the proximal, middle, or distal third).|
|D||Age of patient.|
Energy absorption at the time of fracture
a. The amount of energy absorption and the degree of bony comminution is the most significant factor in predicting healing of tibial fractures.
b. Location along the tibia and age are not thought of as significant factors in healing.
c. The soft tissue damage may contribute to lack of vascular envelope, but the destruction of soft tissue is based on the amount of energy absorbed.