Tibia and fibula fractures are classified based on their location as epiphyseal fractures (at the ankle or below the knee) and diaphyseal fractures, divided into greenstick fractures and torus fractures.Fractures can be caused by trauma, osteoporosis, or stress to the bone structure. Depending on the type of injury, fractures are classified as open fractures, which require surgical treatment, and closed fractures, which can be treated nonoperatively. Emergency surgical treatment is indicated in cases of open wound contamination, compartment syndrome, a devascularized limb, or a patient with multiple trauma.In other cases, although there is no specific timeframe for surgery, surgery should be performed as soon as possible after the patient’s admission to the hospital. Any delays in performing surgery may cause infections or complications such as thrombosis or bedsores and may extend the patient’s hospital stay. The following indicator has been defined: 1) Waiting times for surgery following a tibia and/or fibula fracture (hospital), where the outcome measured is the performance of the surgery within 30 days of hospital admission and the exposure is determined by the hospital. The indicator measures the facility’s ability to perform surgery on patients with tibia and/or fibula fractures quickly;for this reason, closed fractures were not considered in the indicator calculation, as closed reduction is indicated, the duration of which is unpredictable and could influence the outcome under study. The indicator’s value may differ between regions and facilities due to varying quality of care, but it may also be attributable to the heterogeneous distribution of various risk factors, such as patient age, gender, and comorbidities.
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Indicators 
