Depending on the displacement of the fracture, whether it is an open fracture, whether there is a combination of vascular and neurological injury, as well as the age of the patient, the general condition of the body needs to be taken into account and, in general, the following treatment modalities are available.
Manual repositioning and external fixation, mostly used for stable tibiofibular fractures without significant fracture displacement, after successful anaesthesia and after repositioning a small splint or long leg cast can be used for fixation.
Bone traction, commonly used for heel traction, mostly for temporary transitional treatment before incision and repositioning, such as oblique, spiral and comminuted tibiofibular fractures, which are not easily maintained in good alignment after repositioning because the fracture is very unstable, as well as in cases where there are wounds on the fracture, skin abrasions and severe swelling of the limb and the limb must be closely monitored.
External brace fixation, mostly for open fractures. After external brace fixation, when the open wound is clean and there are no local signs of infection, it may be necessary to replace it with intramedullary nailing or plate internal fixation.
Internal fixation by incision and reduction, mostly for dry bone fractures with intramedullary nailing, and internal fixation with plates near the proximal or distal tibia.