Proximal fibula fracture

　　Proximal fibula fractures are mainly caused by traumatic factors, often caused by direct external force acting on the lateral side of the lower leg. Traumatic violence includes collisions and compression injuries caused by traffic accidents, heavy object injuries, beating injuries, etc.

　　Most proximal fibula fractures are associated with fractures of the proximal tibia or tibial shaft, known as proximal tibia-fibula fractures. Such fractures are difficult to fix due to their proximity to the knee joint, and are prone to complications such as joint stiffness, skin necrosis, and infection. In severe cases such as comminuted fractures, in addition to skeletal injury, there is also severe soft tissue injury. Often accompanied by vascular and common fibular nerve injuries, if the treatment is not reasonable, the exacerbation of soft tissue injury, the presence of foreign bodies, increased wound tension, are prone to complications such as skin necrosis and infection at the wound margin.

　　Fractures of the proximal fibula in patients are mainly manifested as pain on the lateral side of the lower leg, swelling and tenderness, with a history of direct external force injury on the lateral side of the lower leg. Although patients can walk without crutches, pain occurs when carrying loads, and tenderness is present at the site of soft tissue contusion and fracture. However, if there is pain in the fracture site when the tibia and fibula in the middle of the lower leg are compressed, or when the foot is fixed and rotated at the flexed knee position, it may indicate a fracture of the proximal fibula. In addition, pain may occur when the lower limb is屈膝resisted due to the attachment of the biceps femoris to the head of the fibula.

　　Proximal fibula fractures are caused by traumatic factors, and paying attention to safety in production and life is the key to preventing this disease. At the same time, it should be noted that functional exercise should be promoted for patients with this disease, but excessive functional exercise may lead to non-union of bones, especially in severe cases such as burst fractures, because, it is necessary to strictly follow the doctor's advice to restore the function of the affected limb as soon as possible.

　　Proximal fibula fractures have a clear history of trauma, and can generally be diagnosed based on the medical history and physical examination. Auxiliary examinations mainly include X-ray examination, which can show the specific location and range of injury involved in the fracture, which is conducive to diagnosis. For some special cases, when X-ray examination is not enough to clearly judge the condition, CT examination can be adopted.

　　Some people think that after a proximal fibula fracture, one should eat more bones to promote early healing of the fracture. In fact, this is not the case. Modern medicine has proven that eating more bones by fracture patients not only cannot promote early healing but may also delay the healing time of the fracture.

　　Because the regeneration of bone after injury mainly relies on the functions of bone marrow and periosteum, and bone marrow and periosteum can only better perform their functions under the condition of increasing bone collagen, while the main components of meat bone are calcium and phosphorus. If too much pork rib or bone soup is consumed after a fracture, it will promote the increase of inorganic components in the bone, leading to a disorder in the proportion of organic matter in the bone. Therefore, it will hinder the early healing of the fracture. However, fresh pork ribs and meat bone soup have delicious taste and can stimulate appetite, so fracture patients can eat a little less.

　　Early massage during the recovery period of a proximal fibula fracture should only be performed by the distal part of the limb, in a centripetal soothing or kneading manner, over the fracture site to the proximal part of the limb, and it should only be used when a small splint is fixed, while plaster fixation cannot be performed. In the later stage of fracture recovery, when the callus has matured and the external fixation is removed, the massage intensity can be increased. If there is joint stiffness, the joint flexion and extension range can be moderately increased passively.