What is the treatment for a tibial plateau fracture?

Most non-displaced fractures of the tibial plateau can be treated without surgery, but they usually require an extended period (up to 3 months) of protection from walking. If displacement occurs, surgery may be needed to realign the bone fragments and hold them in position.

Depending on health and injury pattern this bone can take 3-4 months to heal without surgery. Physical therapy for knee range of motion is started around 6 weeks once bone has healed enough to prevent displacement with motion.

Beside above, can a tibial plateau fracture heal on its own? A non-displaced fracture of the tibial plateau is when the tibia sustains a break or crack without a fragment of the bone becoming separated. These fractures normally have a better future outcome than displaced fractures and usually, heal without surgical intervention within 3-4 months.

Considering this, is a tibial plateau fracture serious?

In summary, tibial plateau fractures are serious injuries, usually associated with soft-tissue complications. Staged treatment is recommended in severe cases. Minimally-invasive osteosynthesis, when possible, is recommended in partial articular fractures.

What causes a tibial plateau fracture?

Fractures of the tibial plateau are caused by a varus (inwardly angulating) or valgus (outwardly angulating) force combined with axial loading or weight bearing on knee. The classically described situation in which this occurs is from a car striking a pedestrian’s fixed knee (“bumper fracture“).

When should I start weight bearing after a tibial plateau fracture?

fractures, non-weight-bearing should be maintained for 6-8 wks, with progression to PWB (50%) at that time. After twelve weeks, patients can be full weight bearing if there is radiographic evidence of healing.

Can you walk on a tibial plateau fracture?

Non-Displaced Tibial Plateau Fractures Most non-displaced fractures of the tibial plateau can be treated without surgery, but they usually require an extended period (up to 3 months) of protection from walking. If displacement occurs, surgery may be needed to realign the bone fragments and hold them in position.

Can you bend your knee with a tibial plateau fracture?

Symptoms of a Tibial Plateau Fracture Tenseness Around the Knee; Limited Bending. The knee may feel and appear tense, owing to bleeding within the joint. This also limits motion (bending) of the joint. Deformity Around the Knee.

How do you get a tibial plateau fracture?

Most tibial plateau fractures are a result of trauma to the leg, such as: a fall from height. a motor vehicle accident. injuries from sports such as football or skiing.

What happens after tibial plateau surgery?

According to the AO principles of fracture management, postoperative management of tibial plateau fractures generally consists of toe-touch weight bearing for 6–8 weeks. As to fractures caused by extremely high energy; these patients may need to adhere to toe-touch weight bearing regimen for 10–12 weeks [3].

When can I walk after tibia fracture?

If the smaller ankle bone (the fibula) is badly broken, weight bearing may be delayed. Gentle motion is begun early to prevent stiffness. Gradually this motion is increased and physical therapy is begun around 6 weeks after surgery if the patient has residual knee or ankle stiffness.

Where is the medial tibial plateau located?

The medial tibial plateau now lies either in line with or posterior to the medial femoral condyle.

How long do you need to wear a cast for a fractured tibia?

It is typically treated by setting the bone without surgery and using a cast to reduce movement. The cast is usually worn for about six weeks. Valgus deformity (knock knee) is one of the main potential complications after this fracture.

How long does swelling last after tibia surgery?

Most of the swellings subsided with time, but a small percentage of them persisted for a duration of 2 years or more after injury. The time for disappearance of the swelling in 50 per cent of the patients was 18.6 weeks.

How long does it take a knee fracture to heal?

4 to 6 weeks

How do you start walking after a broken leg?

Your doctor may tell you not to put weight on your leg for several weeks to months as the bone heals. Properly-fitted crutches or a walker will help you get around during this time. Some types of fractures can heal with weight bearing, but you will likely wear a rigid boot to provide stability for walking.

What is the end of the tibia called?

At the lower end of the tibia there is a medial extension (the medial malleolus), which forms part of the ankle joint and articulates with the talus (anklebone) below; there is also a fibular notch, which meets the lower end of the shaft of the fibula.

Can you still walk with a tibial fracture?

A fracture is another word for a break. In some cases, the only symptom of a small fracture is a pain in the shin while walking. In more severe cases, the tibia bone may protrude through the skin.

What is done for a fractured tibia?

Currently, the method most surgeons use for treating tibia fractures is intramedullary nailing. During this procedure, a specially designed metal rod is inserted into the canal of the tibia. The rod passes across the fracture to keep it in position. The intramedullary nail is screwed to the bone at both ends.