Classification of tibial plateau fractures
What is the classification of the tibia?
The tibia is categorized as a long bone and is as such composed of a diaphysis and two epiphyses. The diaphysis is the midsection of the tibia, also known as the shaft or body.
What is schatzker Type 2 fracture?
A Schatzker type II fracture is a combined cleav- age and compression fracture of the lateral tibial plateau, a type I fracture with a depressed combined with axial loading on the knee and therefore may be associated with a distraction- type injury to the medial collateral ligament (MCL) or ACL (Fig 2).
What is a schatzker Type 3 fracture?
One of the most demanding fractures is a Schatzker type III fracture, which is a pure depression of the lateral tibial plateau (LTP). It is usually associated with low-energy trauma and poor bone quality.
How do you describe a tibial plateau fracture?
What is a Tibial Plateau Fracture? A tibial plateau fracture is a break of the larger lower leg bone below the knee that breaks into the knee joint itself. It is rare to only just break the bone. This is an injury that can involve the bone, meniscus, ligaments, muscles, tendons and skin around the knee.
What is a schatzker 6 fracture?
Schatzker type V and VI tibial fractures are complex injuries, usually treated with open reduction and internal fixation (ORIF) using dual plates or ring fixators. ORIF has the advantage of not requiring pin tract care, but has a higher infection rate, especially in open fractures.
What is a Unicondylar tibial plateau fracture?
Abstract. Tibial plateau fracture is a rare complication of unicompartmental knee arthroplasty. The fracture almost always occurs during surgery, and it is likely to be the result of a technical error, usually an unnecessarily deep vertical saw cut into the proximal tibia.
When does a tibial plateau fracture require surgery?
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).
Which is higher medial or lateral tibial plateau?
This finding indicates that the lateral edge is superior to the medial edge of the tibial plateau in a majority of subjects.
How long is non weight bearing after tibial plateau fracture?
The standard aftercare treatment (according to the AO guideline) for surgically treated trauma patients with fractures of the tibial plateau is non-weight bearing or partial weight bearing for 10–12 weeks.
How is a tibial plateau fracture treated?
Tibial Plateau Fracture Care
For fractures that have not shifted, surgery may not be needed. The most common non-surgical treatment is a short leg, non-weightbearing cast or a hinged knee brace, combined with physical therapy and rest. Fractures that have shifted require surgery.
What is the long term effects of tibial plateau fractures?
Tibial plateau fractures are intra-articular fractures that are thought to be associated with long-term risk for posttraumatic arthritis.
How do you fix a tibial plateau fracture?
Depending on where the break is and how well it is lined up, tibial plateau fractures may be treated with or without surgery. Your surgeon will discuss this with you and give you options for treatment. If your fracture can be treated without surgery, you may be kept in a brace or a splint for a period of time.
When can I walk after tibial plateau fracture?
If you had surgery for your tibial plateau fracture, you can put a little bit of weight on the leg after 6 weeks with the goal of walking normally by the 10th week. If you did not have surgery for your tibial plateau fracture, you can start walking safely with a knee brace in 4-6 weeks.
Can you fully recover from a tibial plateau fracture?
We conclude that there is significant impairment of movement and muscle function after fracture of the tibial plateau and that the majority of patients have not fully recovered one year after injury. Loss of movement and reduced muscle function affects recovery after intra-articular fractures.
Should I wear a knee brace after tibial plateau fracture?
Symptoms post tibial plateau fracture surgery
After your surgery you will be required to wear a cast or knee brace for as long as it is necessary until there has been sufficient healing of the fracture. Your leg will be maintained in extension to ensure healing of the surgical incision.
Why is a tibial plateau fracture so painful?
Knee stiffness
Knee pain after tibial plateau fractures is often due to arthrofibrosis, and the patient needs to be counseled that the time to achieve knee motion is now—not later when the patient thinks that it will feel better!
How long does a tibial plateau take to heal?
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.