Nondepressed tibial plateau fractures occasionally are difficult to appreciate with standard radiographs. The presence of these subtle fractures may be inferred by the presence of a lipohemarthrosis on the cross-table lateral radiograph, indicating disruption of an articular surface, most often the tibia. Cross-table lateral and AP may be the only views possible in the trauma setting and the cross-table lateral radiograph may be the most important to detect occult fractures. It does not store any personal data.When imaging knee injuries with bony tenderness, the preferred examination consists of radiographs in multiple obliquities of the knee. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The cookie is used to store the user consent for the cookies in the category "Performance". This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other. The cookies is used to store the user consent for the cookies in the category "Necessary". The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". The cookie is used to store the user consent for the cookies in the category "Analytics". These cookies ensure basic functionalities and security features of the website, anonymously. Necessary cookies are absolutely essential for the website to function properly. If soft tissue injuries have been sustained this recovery process may take longer. Recovery following surgery may take a number of months and will require the patient not to weight bear for a long period of time. This fixation is usually achieved by placing screws and/or plates in and around the bone fragments to keep them secure. In this case, surgery is normally needed to re-fix the fragments in place to encourage correct healing of the bone tissue. Displaced tibial plateau fractureĪ displaced fracture is one where the bone breaks into two or more fragments. Physical therapy rehabilitation exercises are needed to maintain leg strength soon after injury and should be continued throughout the recovery phase. Within this time the patient may be required not to weight bear and to wear a knee brace on the injured knee. These fractures normally have a better future outcome than displaced fractures and usually, heal without surgical intervention within 3-4 months. Non displaced tibial plateau fractureĪ non-displaced fracture of the tibial plateau is when the tibia sustains a break or crack without a fragment of the bone becoming separated. Fractures that have shifted require surgery. The most common non-surgical treatment is a short leg, non-weightbearing cast or a hinged knee brace, combined with physical therapy and rest. However, broadly speaking fractures of the tibial plateau can be separated into two main groupings: Displaced and Non-displaced fractures.įor fractures that have not shifted, surgery may not be needed. In surgical terms, there are 6 different classifications of tibial plateau fractures, depending on the severity and the nature of the injury.
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