What is the treatment for a tibial plateau fracture?

What is the treatment for a tibial plateau fracture?

Tibial Plateau Fracture Care The most common non-surgical treatment is a short leg, non-weightbearing cast or a hinged knee brace, combined with physical therapy and rest. Fractures that have shifted require surgery.

How long does it take to walk after tibial plateau fracture surgery?

You will be non weight bearing and required to use elbow crutches for between 8-12 weeks depending on the rate of healing with a progression to partial weight bearing. You should be fully weight bearing after 12 weeks if the fractured has healed adequately.

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

Patients with tibial plateau fractures will be instructed to touch down (toe touch or foot flat) weight bear (approximately 10% of body weight) for at least 6 weeks. After the 6 week post op visit, patients may begin weight bearing as tolerated until full weight bearing is achieved.

What is a Bicondylar tibial plateau fracture?

Bicondylar tibial plateau fractures are complex injuries that are frequently difficult to treat. Bicondylar plateau fractures involve some portion of both the medial and lateral articular surfaces, with associated disruption of the articular fragments from the metaphysis.

How do I strengthen my knee after tibial plateau fracture?

Exercises might include aggressive gait training (progressively putting more weight on the injured leg) and lower body strengthing exercises like squats, calve raises, bridges, and leg raises.

How long is physical therapy after tibial plateau fracture?

When surgery is required these cases take around 4 months to heal. After this healing period, Physical Therapy most often continues until at 6 months, a patient is typically able to return to a normal life, albeit with certain limitations.

What does Bicondylar mean?

The condylar joint is better called bicondylar, for in it two distinct surfaces on one bone articulate with corresponding distinct surfaces on another bone. The two male surfaces are on one and the same bone and are of the same type (ovoid or sellar). Bicondylar joints are quite common. …

What is Bicondylar fracture of right tibia?

Bicondylar tibial plateau fractures often have bone defects due to compression of the cancellous subchondral bone. After reduction of the articular fragments, options for filling the metaphyseal bone defects include iliac crest autograft, allograft and bone substitutes such as calcium phosphate and hydroxyapatite.

How do you strengthen your legs after a tibial plateau fracture?

Exercises

1. Straight leg raise exercises (lying, seated, and standing), quadriceps/straight ahead plane only.
2. No side-lying leg raises.
3. Range of motion exercises.
4. Hip and foot/ankle exercises, well-leg stationary cycling, upper body conditioning.

What are the keywords for tibial plateau fractures?

Keywords: tibial plateau fractures, three-column concept, posteromedial knee approach, posterolateral knee approach, staged sequential surgical treatment Tibial plateau fractures (TPFs) are common and difficult-to-manage injuries that can be due to high- or low-energy trauma and can affect young adults or third-age patients.

When do you need a posteromedial plateau fixation?

When an ACL injury is also present, reduction and fixation of the posteromedial plateau helps protect the ACL repair or reconstruction by preventing rotatory subluxation of the femoral condyle.

How long does it take to fix a splited tibial plateau?

The splited fractures was fixed by less invasive stabilization system (LISS) plate via the anterolateral approach. Results: The mean operation time was 69.0 minutes (range, 50-105 minutes). All incisions healed by first intention without neurovascular complications or wound infection. All patients were followed up 14-20 months (mean, 18.2 months).

Can a tibial plateau fracture be an ACL tear?

J. Spence Reid, MD, Penn State Bone and Joint Institute explains, “This fracture pattern may occur as part of a fracture-dislocation in which it is often associated with an ACL tear, or as part of a bicondylar tibial plateau fracture.”