Lower limb trauma

Dr Myhill manages a range of lower limb traumatic injuries including fractures of the hip, femur, tibia and ankle. Referrals are accepted from GPs, physiotherapists and emergency departments, with long-term follow-up provided.

Hip fractures

Hip fractures are surgical emergencies requiring prompt treatment. See the hip fracture and trauma page for detailed information on management options.

Femoral shaft fractures

Fractures of the femoral shaft (thigh bone) are managed surgically in almost all cases using intramedullary nail fixation, a metal rod passed down the centre of the femur. This aims to restore alignment and allows early mobilisation.

Tibial fractures

Tibial shaft fractures may be managed with intramedullary nailing (for displaced or unstable fractures) or in a cast (for undisplaced stable fractures). The appropriate management is determined by fracture pattern, displacement, and associated soft tissue injury.

Periarticular knee fractures

Fractures around the knee joint, including distal femoral fractures and proximal tibial fractures (tibial plateau fractures), often require surgical fixation to restore the joint surface and allow early movement.

Ankle fractures

Many ankle fractures can be managed in a boot or cast. Displaced, unstable or bimalleolar (involving both sides of the ankle) fractures typically require surgical fixation with plates and screws.

Referring for lower limb trauma

Urgent trauma referrals may be directed to the practice by phone. See how to refer for contact details.