Alex Smith Tibia-Fibula Open Spiral Fracture: Is His Career Over?

Alex Smith Tibia-Fibula Fracture Video:

Washington quarterback Alex Smith suffered a devastating right lower leg injury this past Sunday during Washington’s eventual 23-21 loss against the Texans.  The right leg of Alex Smith was caught underneath him while getting sacked by two different Texan defenders. In the video, I go in-depth on the injury, including

  • The specifics of the injury
  • The surgery & potential complications
  • If it’s a career ender for Alex Smith

Thanks for watching and until next time. If you liked the piece, subscribe to the email list on the sidebar, join our facebook groupYouTube channel, and follow us on twitter or IG to never miss an update.


  1. Albuquerque RPE, Hara R, Prado J, Schiavo L, Giordano V, do Amaral NP. Epidemiological study on tibial plateau fractures at a level I trauma center. Acta Ortop Bras. 2013;21(2):109-115. doi:10.1590/S1413-78522013000200008.
  2. Asloum Y, Bedin B, Roger T, Charissoux J-L, Arnaud J-P, Mabit C. Internal fixation of the fibula in ankle fractures: a prospective, randomized and comparative study: plating versus nailing. Orthop Traumatol Surg Res. 2014;100(4 Suppl):S255-9. doi:10.1016/j.otsr.2014.03.005.
  3. Cannada LK, Anglen JO, Archdeacon MT, Herscovici D, Ostrum RF. Avoiding complications in the care of fractures of the tibia. J Bone Joint Surg Am. 2008;90(8):1760-1768.
  4. Duan X, Al-Qwbani M, Zeng Y, Zhang W, Xiang Z. Intramedullary nailing for tibial shaft fractures in adults. Cochrane database Syst Rev. 2012;1:CD008241. doi:10.1002/14651858.CD008241.pub2.
  5. Ferguson M, Brand C, Lowe A, et al. Outcomes of isolated tibial shaft fractures treated at level 1 trauma centres. Injury. 2008;39(2):187-195. doi:10.1016/j.injury.2007.03.012.
  6. Khalid M, Brannigan A, Burke T. Calf muscle wasting after tibial shaft fracture. Br J Sports Med. 2006;40(6):552-553. doi:10.1136/bjsm.2005.020743.
  7. Khatod M, Botte MJ, Hoyt DB, Meyer RS, Smith JM, Akeson WH. Outcomes in open tibia fractures: relationship between delay in treatment and infection. J Trauma. 2003;55(5):949-954. doi:10.1097/01.TA.0000092685.80435.63.
  8. Kohlprath R, Assal M, Uçkay I, Holzer N, Hoffmeyer P, Suva D. [Open fractures of the tibia in the adult: surgical treatment and complications]. Rev Med Suisse. 2011;7(322):2482, 2484-2488.
  9. Kwaadu KY, Fleming JJ, Lin D. Management of complex fibular fractures: double plating of fibular fractures. J Foot Ankle Surg. 54(3):288-294. doi:10.1053/j.jfas.2013.08.002.
  10. Larsen P, Elsoe R, Graven-Nielsen T, Laessoe U, Rasmussen S. Local and Widespread Hyperalgesia After Isolated Tibial Shaft Fractures Treated with Intramedullary Nailing. Pain Med. 2016;17(6):1174-1180. doi:10.1093/pm/pnv016.
  11. Larsen P, Lund H, Laessoe U, Graven-Nielsen T, Rasmussen S. Restrictions in quality of life after intramedullary nailing of tibial shaft fracture: a retrospective follow-up study of 223 cases. J Orthop Trauma. 2014;28(9):507-512. doi:10.1097/BOT.0000000000000031.
  12. Lefaivre KA, Guy P, Chan H, Blachut PA. Long-term follow-up of tibial shaft fractures treated with intramedullary nailing. J Orthop Trauma. 2008;22(8):525-529. doi:10.1097/BOT.0b013e318180e646.
  13. Lenehan B, Fleming P, Walsh S, Kaar K. Tibial shaft fractures in amateur footballers. Br J Sports Med. 2003;37(2):176-178.
  14. Mai HT, Alvarez AP, Freshman RD, et al. The NFL Orthopaedic Surgery Outcomes Database (NO-SOD): The Effect of Common Orthopaedic Procedures on Football Careers. Am J Sports Med. 2016;44(9):2255-2262. doi:10.1177/0363546516651426.
  15. McMahon SE, Little ZE, Smith TO, Trompeter A, Hing CB. The management of segmental tibial shaft fractures: A systematic review. Injury. 2016;47(3):568-573. doi:10.1016/j.injury.2015.11.022.
  16. Mills LA, Aitken SA, Simpson AHRW. The risk of non-union per fracture: current myths and revised figures from a population of over 4 million adults. Acta Orthop. 2017;88(4):434-439. doi:10.1080/17453674.2017.1321351.
  17. Petrisor, BA, Bhandari et al. Tibia and Fibula Fractures. In: Rockwood and Green’s Fractures in Adults. Volume 2. Philadelphia; 2010:1867.
  18. Rademakers M V, Kerkhoffs GMMJ, Sierevelt IN, Raaymakers ELFB, Marti RK. Operative treatment of 109 tibial plateau fractures: five- to 27-year follow-up results. J Orthop Trauma. 2007;21(1):5-10. doi:10.1097/BOT.0b013e31802c5b51.
  19. Robertson GAJ, Wood AM. Return to Sport After Tibial Shaft Fractures: A Systematic Review. Sports Health. 2016;8(4):324-330. doi:10.1177/1941738115601425.
  20. Väistö O, Toivanen J, Kannus P, Järvinen M. Anterior knee pain and thigh muscle strength after intramedullary nailing of tibial shaft fractures: a report of 40 consecutive cases. J Orthop Trauma. 2004;18(1):18-23.
Posted in NFL

Leave a Reply