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Not necessarily, it very much depends on different factors such as: exact type of fracture, whether there is any displacement of the fracture, the age and functional expectations of the patient etc.

If you are talking about a displaced medial tibial plateaux fracture (Shatzker grade 4) in a young active person, then YES it would need to be fixed. An undisplaced fracture in an elderly patient with limited mobility probably would not need fixed surgically but treated in a cast brace.

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Q: Does a medial tibial fracture normally need surgery to repair?
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