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Tibial Fracture Brace

The Tibial Fracture Brace is a protective device worn on the lower leg to aid in the healing and alignment of an injured bone. The brace has a similar function to a cast, however is removable, and usually allows ankle motion.


  1. Put on a clean stocking, or a long sock, then smooth out any wrinkles.
  2. Apply the front panel over the shin, above the ankle bone (see figure 1).
  3. Apply the back section (see figure 2). The two sections should overlap, with the back section fitting inside of the front section. If possible, have someone assist in putting the brace on to assure the best fit.
  4. Take the middle Velcro strap and thread it through the center plastic loop. Hold the front and back sections together tightly, and pull the strap through the next plastic loop on the side (see figure 3). Continue pulling the strap across the front until it fastens to itself.
  5. Repeat with the remaining straps. Equal pressure should be maintained on all straps. Straps may need adjustment to achieve a snug fit (see figures 4 and 5).
  6. Apply shoe, ensuring the heel cup is all the way back in the shoe (see figure 6).


Undo the Velcro closures and release the straps. Remove the back, then the front section of the Tibial Fracture Brace.

Wearing Schedule

Wear the orthosis as prescribed by the physician and follow physician orders for weight bearing on the injured leg.


When the physician has given permission to clean the leg, or to change the stocking:

  1. Follow instructions for removal of the brace.
  2. Gently clean and dry the leg, then reapply the brace with a clean stocking.
  3. Never apply the brace over wet or damp skin.

Care and Maintenance

  1. Spraying the inside with rubbing alcohol, and wiping it dry in order to remove body oils and residue can clean the brace. Wiping it out with a damp towel and anti-bacterial soap, or anti-bacterial moist towelettes may also clean it.
  2. Wash the cotton stocking in cold water and air dry or machine dry on low.
  3. Keep the brace away from excessive heat to prevent damage to the plastic.

Tips and Problem Solving

  1. The orthosis should not irritate the skin. Visually inspect the skin often (having someone help if necessary), and report all suspected problems to the orthotist.
  2. Braces will differ slightly depending on the manufacturer. Follow the orthotist instructions for the particular brace.
  3. The brace should be worn tight, but not so tight as to be uncomfortable.
  4. Do not remove the brace unless instructed to do so by a physician or orthotist.
  5. Direct any problems, questions or concerns about the brace to an orthotist.

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