What is the posteromedial tibial plateau?
Posteromedial fractures of the tibial plateau are often encountered after high-energy injuries. They can be seen in isolation or in combination with lateral column fractures. These fractures must be recognized and stabilized independently of any lateral sided fracture to ensure the stability of the final construct.
How long does it take to recover from a tibial plateau fracture?
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.
When does a tibial plateau fracture require surgery?
By Michael J. McNulty, M.D. Tibial Plateau Fracture Surgery is required when the bone breaks into two or more fragments and surgery is normally needed. This fracture involves the proximal (upper) portion of the tibia which extends through the articular surface (into the knee joint).
Do all tibial plateau fractures require surgery?
Not all fractures of the tibial plateau require surgery. The first challenge in the management of upper tibial fractures is to decide between nonoperative and surgical treatment.
How are tibial stress fractures treated?
Patients with tibial stress fracture may use a pneumatic compression device to reduce the time to resumption of full activity. Bone stimulators should not be used for the treatment of most stress fractures. Shock-absorbing orthotics and footwear modification may reduce the occurrence of lower extremity stress injury.
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.
What happens after tibial plateau fracture surgery?
After tibial plateau fracture surgery you will experience pain, swelling, stiffness and decreased range of movement in your knee. You will also experience a reduction in muscle strength and control in the post operative period.
How long does it take to bend your knee after tibial plateau surgery?
If you had surgery then you can start bending the knee to 90 degrees 1 week after surgery. One the incision is fully healed (10-14 days) you can go past 90 degrees.
When can I walk after tibial plateau surgery?
Post-operative Care You will not be able to bear weight on your leg for weeks after breaking your bone. That means no walking on or pushing off of your broken leg. This is to keep the bones from moving as you heal. Depending on your injury, this will last 6 to 12 weeks.
Can you bend your knee with a tibial plateau fracture?
Can you bend your knee with a tibial plateau fracture? Yes, if the tibial plateau fracture is hair line or if the bones have not shifted then you can start bending you knee immediately after you sustained the fracture. 7.
Do tibial stress fractures require surgery?
Although most tibial stress fractures heal with nonoperative treatment, some may require surgical management. Surgical treatment options include intramedullary nailing, tension band or compression plating, and drilling with debridement and bone grafting.
Should I wear a knee brace for a stress fracture?
In order to facilitate rest and aid the healing process, the use of casts, braces, or other immobilization devices may be used, either during the rest period, and/or after it. Patients wearing casts and/or braces may require crutches or a wheelchair.
How is the posteromedial tibia plateau fracture made?
The Posteromedial Tibial Plateau Fracture: New Perspectives. The skin incision is made along the medial head of the gastrocnemius muscle extending from the medial femoral epicondyle proximally to the posterior border of the tibia six to eight centimeters beyond the tip of the posteromedial fragment distally.
What is the typical fracture pattern of a plateau fracture?
The fracture pattern is usually quite vertical and unstable, with a high shearing angle, and encompasses a large proportion (greater than 25 percent) of the plateau area, with a fragment that is displaced by more than five millimeters.
Where is the incision made for a tibia fracture?
The skin incision is made along the medial head of the gastrocnemius muscle extending from the medial femoral epicondyle proximally to the posterior border of the tibia six to eight centimeters beyond the tip of the posteromedial fragment distally.
What is the posteromedial Plateau and why is it important?
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.