Vol. 11, Issue 3 (2025)

Introduction: fractures of the tibia with intact fibula remain a controversial subject. Orthopedic treatment in the management of these fractures remains an option, but is associated with significant morbidity. The aim of our study was to evaluate the factors influencing the functional, clinical, and radiological outcomes of tibial fractures with intact fibula. 
¬Materials and methods: we carried out an analytical, transversal study over a five-year period from January 2019 to December 2024. We included all patients hospitalized or seen in outpatient consultations for fractures of the tibia with intact fibula, with a minimum follow-up of 6 months.
Results: forty-five (45) cases were enrolled, with a mean age of 34.83 years. The main etiology was road traffic accidents in 71.11% of cases. The fracture was located in the middle third in 51.10% of cases. In 31 cases (68.89%), the fracture was simple, and displaced in 33 cases (73.33%). The main displacement on frontal views was translation in 27 cases, with an average of 7.4 mm. Type A according to the AO classification was the most common in 35 cases, with a predominance of type A3 in 28.89%. Orthopedic treatment was provided in 30 cases, and surgical management was performed in 15 cases. The average time to treatment was 3.83 days for orthopedic treatment and 15.15 days for surgical treatment. The average time to weight-bearing for orthopedic treatment was 12.30 weeks. The average time for healing was 4.70 months for orthopedic treatment and 5.17 months for surgery. The average follow-up was 18.48 months. Complications from orthopedic treatment included joint stiffness in the knee and ankle in 10 cases. 
Conclusion: orthopedic treatment remains a therapeutic option for this injury. Joint stiffness in the knee and muscle atrophy of the limb are the main complications of orthopedic treatment. The lack of health insurance is one of the principal factors limiting surgical management of this injury in countries with limited healthcare resources.