Immediate, severe pain is usually felt at the injury site. Standard of Care: Tibial Plateau Fracture Case Type / Diagnosis: ICD-9: 823.00 - fracture of proximal tibia Tibial plateau fractures can occur as a result of high-energy trauma or in low-energy trauma when bone quality is poor. In certain types of fractures, your bone breaks, but its pieces still line up correctly. The majority of fractures to the tibial plateau will … Tibial plateau fractures result from high energy, blunt force trauma and are associated with severe bone and soft-tissue injury. The tibia forms part of the knee joint. In some cases, the only symptom of a small fracture is a pain in the shin while walking. In addition to the fracture, damage to the muscle, soft tissues, bones, skin, ligaments, blood vessels and nerves also commonly accompany the injury. It is rare to only just break the bone. At some point, you may need physical therapy to restore strength and flexibility to your muscles. Displaced fracture: unlike the stable fracture, the broken ends of the tibia are out of place and do not correctly line up. Most non-displaced fractures of the tibial plateau can be treated without surgery, but they usually require an extended period (up to three months) of protection from walking. You might not need ORIF if you fracture your tibia or your fibula. Tibial plateau fractures are notoriously difficult to manage, particularly when there is a medial or posteromedial component. I am still zero weight bearing and using a wheelchair. Tibial shaft fractures: Tibial shaft fractures, which occur between the knee and ankle joints, are the most common type of tibia fracture.Some tibial shaft fractures can be treated in a long leg cast. You’ll receive instructions about how you can move your leg and whether you can put weight on it. Fortunately, these impacts rarely carry enough force to cause an even more painful injury: a fracture of the tibia. This is important because when the joint surface is not lined up, there is a much higher risk for the patient to develop traumatic arthritis. Make sure to keep all of your follow-up appointments. Displaced tibial plateau fracture. This may lead to a … Read my full journey here. Motion Range: The formation of adhesion after surgery … This might happen in the part of the bone near the knee, near the middle long part of the bone, or in the bone near part of the ankle. Soft tissue refer to the muscles, ligaments, nerves, tendons and blood vessels, joint cartilage, etc. Once the swelling has decreased, casting and bracing may be needed. A tibial plateau fracture is a break in the upper part of the shin bone. Recovery time for a tibia fracture typically takes 4-6 months to heal completely. Tibial plateau fractures requiring surgery are severe injuries of the lower extremity. You might need to take medicine to prevent blood clots (a blood thinner) for a little while after your surgery. Tel: 435-655-6600. Closed fracture: the skin surrounding the fracture is intact. The tibial tubercle is a bony bump on the upper part of the shin where the quadricep muscle is attached to the bone by the patellar tendon. Broken Leg: If my tibial shaft fracture gets surgery, when can I start walking on it? Patients will be in a hinged brace for support and to serve as a reminder not to weight-bear; Seek full hyperextension equal to opposite side. Up to 3 months might be required for full healing to be realized allowing for full weight bearing. Download PDF. Office Hours Tuesday–Friday: 8–5 Non-weightbearing status for 4 weeks post-op. Your own risk of complications may vary according to your age, the anatomy of your fracture, and your other medical conditions. The type of fracture would determine whether this could be cast or would require surgery to stabilise; no two fractures are the same and casting may not be suitable for complete, complex fractures. 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