Which fracture is associated with deep venous insufficiency?

A tibial fracture is associated with deep venous insufficiency due to the anatomy and physiology of the lower limb. The tibia is a weight-bearing bone, and fractures in this area can disrupt the surrounding muscular and venous structures. This disruption may compromise venous return, leading to conditions such as deep vein thrombosis (DVT) and subsequent venous insufficiency.

In addition, fractures of the tibia often occur in conjunction with other injuries such as soft tissue damage, which can further impair venous drainage. The combination of immobility, possible leg swelling, and vascular compromise after a fracture can significantly increase the risk of venous insufficiency in the affected leg.

Other types of fractures, such as femoral, humeral, or pelvic, may carry their own risks but are less specifically linked to the development of deep venous insufficiency when compared to tibial fractures. For instance, while pelvic fractures can be severe and may cause vascular injuries, the direct link to venous insufficiency from a tibial fracture is more pronounced due to the leg's role in venous return.