ORTHOTIC MANAGEMENT FOR TIBIA FRACTURE

1. Rt. Tibia Fracture (Distal End)

2.  Name: Nizamuddin
 Age/Gender: 72yrs/Male
 Address: Malapally
 Contact No.:

3.  Patient had Diabetes from last 15 years.
 Non healing fracture.

4.  Due to fall from stairs, four months back.

5.  Patient is able to stand on the both the
legs without complaining any kind
pain but there in a outward twist seen
at the distal end of tibia on right side
which leads foot supination.
 Weight is shifted on lateral border of
foot while standing.
 Diminish sensation.
 Brownish skin colour.

7.  Fracture in Rt. tibia bone at distal end ( as per
X-ray reports ).

8. Conservative treatment
 Patient is advised to use PTB Brace for walking
purpose( to deload the 40% to 50% of weight
from the tibia bone).
 PTB Brace will also protects from twisting the
tibia while standing.
 Brace will also support the fracture part to gets
healed quickly.

9.  Cast taken in neutral as much as possible.
 Internal rotation of leg is observed.
 Circumferential measurements are taken
properly for better fittment and comfort.

10.  Standard modification is done as per
measurements.

13.  Patient is walking normally without any twist
or pain/discomfort at fracture part.
 First Follow up after one month, X-ray with
brace Standing position.
 Second Follow up after three months, X-ray
without brace standing position.