Leg injuries

Fractures shaft of fibula

• Ensure no ankle diastasis by requesting ankle X-rays
• Check common peroneal nerve
• If no other abnormality bandage or plaster for comfort and refer to the VFAC

Tibial shaft fractures

• Analgesia
• Check neurovascular status
• Admit orthopaedics

Thromboprophylaxis

In patients immobilised in leg casts:

• Consider prophylactic anticoagulation (e.g. Rivaroxaban) if high risk of VTE or prior DVT.[BestBets]
• As agreed with Orthopaedics in CUH, prophylactic anticoagualtion is not required those pateints discharged in a backslab