How is a medial tibial plateau fracture treated?

The injury is usually fixed with metal plates and screws placed through a large incision. The type of fracture usually dictates what types of incisions and how many plates and screws are needed. Sometimes bone graft or types of bone cement are needed to support the joint surface.

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.

How long is recovery from surgery on a tibial plateau fracture?

Non-displaced tibial plateau fractures take up to 3-4 months without surgery to heal. When surgery is required these cases take around 4 months to heal.

What is the posteromedial knee approach 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.

How is the medial column exposed in a tibia fracture?

Exposure of the anteromedial part (medial column) of proximal tibia is possible by a subcutaneous dissecting anteriorly. The pes can be retracted posteriorly when dealing with the fracture in this part Clinical picture showing medial plateau and medial meniscus, pes anserinus, and distally the gastrosoleus.

What is a tibial plateau fracture?

Surgical approaches for tibial plateau fractures Tibial plateau fractures are common yet complex injuries, and include a wide variety of fracture patterns. They are also potentially associated with significant soft tissue injury.

How do you access the medial edge of the tibia plateau?

Access to the medial edge of the tibia plateau Retract the pes anteriorly and the gastrocnemius posteriorly and distally. Identify the medial edge of the tibial plateau.