Tibial osteonecrosis can be caused by acute injury that disrupts local blood circulation, resulting in ischemic necrosis of the bone, or by chronic cumulative injury, such as prolonged high-load weight-bearing or standing or walking movements, resulting in necrosis of the bone. Early symptoms are mainly seen when localized pain occurs during standing weight-bearing or exercise, which is relieved by lying down and resting and elevating the affected limb. With the aggravation of the disease, mild loading easily leads to local pain symptoms, which are usually not accompanied by significant local swelling or systemic symptoms, such as fever, weakness, and night sweats, which are usually not accompanied by, but only manifested as local symptoms. When this occurs, it is recommended to avoid the factors that produce it, such as the coordination of exercise for patients with long-term chronic strain injury. If the blood circulation is disrupted due to acute injury, the local blood circulation can be improved by surgery.