Fractures near the ends of the shinbone (tibia) — closer to the knee or ankle — are generally protected with a longer non-weight-bearing period than fractures in the middle of the shaft, because the bone has less surrounding support at these locations.
This page explains how a tibial shaft fracture — proximal or distal is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.
Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.
Fractures near the ends of the shinbone (tibia) — closer to the knee or ankle — are generally protected with a longer non-weight-bearing period than fractures in the middle of the shaft, because the bone has less surrounding support at these locations.
This fracture is generally treated with surgery to stabilize the bone while it heals. Your surgeon will explain the specific technique planned for your fracture pattern.
A walker or cane, used until you're able to return to your prior baseline level of assistance.
Weight bearing as tolerated (WBAT), typically starting soon after surgery — if the fracture doesn't extend into the joint. If it does extend into the joint, no weight bearing (NWB) for about 8–12 weeks.
For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.
Knee and ankle range of motion (ROM) begins around 2 weeks.
Your surgeon's office will schedule follow-up visits and any repeat imaging needed to monitor your healing — follow the specific schedule given to you.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
Your surgeon will guide when it's safe to return to work, school, driving, sports, or other activities based on your healing and this specific fracture. Follow the instructions given specifically to you.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
A walker or cane, used until you're able to return to your prior baseline level of assistance.
Your surgeon will guide when it's safe to return to these activities based on how your specific fracture is healing. Follow the instructions given specifically to you.
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.