How do you immobilize a tibial plateau fracture?
Knee immobilisation can be achieved by splinting or by external fixation. The use of a staged approach using external fixation is recommended in complex patterns and high-energy trauma, especially in cases of axial instability.
What is Orif tibial plateau?
Open reduction and internal fixation (ORIF) is the mainstay of most tibial plateau fractures, with the aim to restore the joint surface congruence and ensure joint stability. Any metaphyseal gaps can be filled with bone graft or bone substitute.
How do you start weight bearing after tibial plateau fracture?
Begin partial weight bearing at 25% of body weight and increase by 25% approximately every 3 days. May progress to one crutch at 71/2 weeks as tolerated, gradually wean off of crutches by week 8 – 9.
What kind of brace is used for a tibial plateau fracture?
Nondisplaced fractures of the tibial plateau can often be treated non-operatively with a period of non-weight bearing with a hinged knee brace. Any period of limb immobilization should be kept brief as knee stiffness must be avoided.
Can I bend my knee after tibial plateau surgery?
Yes, bending the knee can start immediately after tibial plateau fracture if you did not have surgery. If you had surgery then you can start bending the knee to 90 degrees 1 week after surgery. Once the incision is fully healed (10-14 days) you can go past 90 degrees of knee bend.
When do you start physical therapy after tibial plateau fracture?
Tibial Plateau Fracture Rehab: Weeks 1-6: Your therapist will begin immediately with steps to reduce inflammation, calm pain, and begin to promote healing. The therapist focuses on maintaining knee extension and non-weight-bearing movement to promote healing and to prevent further pain and reinjury.
What are the long term prognosis of tibial plateau fractures?
Tibial plateau fractures are intra-articular fractures that are thought to be associated with long-term risk for posttraumatic arthritis. Although patients with this injury are often advised that they will eventually have endstage arthritis necessitating reconstructive surgery, the actual incidence of this problem is unknown.
Why tibial plateau fractures are overlooked?
Why Tibial Plateau Fractures Are Overlooked – PubMed. The major reasons for overlooking TPFs were 1) difficulty in recognizing the fractures on X-rays and 2) that X-ray decision rules were not employed.
How long does it take for a tibial plateau fracture to heal?
How long it takes to recover from a tibial plateau fracture depends on the severity of the fracture and your overall health The length of time it takes to recover from a tibial plateau fracture depends on the severity of the fracture and your overall health. Most fractures take 4 months to completely heal.
When is surgery indicated for tibial plateau fractures?
Tibial plateau fractures are increasing (especially the high velocity injuries) with the increase in automobile accidents. Surgical treatment when indicated (particularly in depressed and displaced fractures) is advantageous to get a stable knee.