Which fracture is associated with deep venous insufficiency?

A tibial fracture is associated with deep venous insufficiency due to the anatomy and blood flow dynamics of the lower extremities. The tibia, being a weight-bearing bone, often experiences significant displacement and swelling upon fracture, which can lead to increased venous pressure in the lower leg. This elevated pressure can impair venous return, contributing to venous stasis and potentially precipitating deep venous thrombosis (DVT).

In contrast, although fractures of the femur, humerus, and pelvis can also be associated with venous issues, the incidence and extent of deep venous insufficiency are particularly pronounced with tibial fractures. The location and mechanics of tibial fractures often predispose the patient to complications such as swelling and immobility, further exacerbating the risk for venous insufficiency and DVT. Therefore, recognizing the specific implications of a tibial fracture in the context of venous circulation underscores its association with deep venous insufficiency.