Do you need a cast for a tibial plateau fracture?

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.

How serious is a tibial plateau fracture?

Patients with tibia plateau fractures are at risk for a serious condition called compartment syndrome. This occurs when the pressure in the leg gets too high for blood and oxygen to circulate. Eventually, the muscle will die if this goes untreated.

How long does it take for a fracture of the tibial plateau 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.

How do you treat a tibial plateau fracture?

Limb alignment and articular surface restoration, allowing early knee motion, are the main goals of surgical treatment. Partially articular factures can be treated by minimally-invasive methods and arthroscopy is useful to assist and control the fracture reduction and to treat intra-articular soft-tissue injuries.

What kind of physical therapy is used for tibia plateau fractures?

Physical Therapy 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. The most common mechanism of injury is motor vehicle accident,

What are the complications of a tibial plateau fracture?

Several complications are associated with the nonoperative and operative treatment of tibial plateau fractures. With both methods, nonunion (failure to heal, or unite) of the fracture can occur. Articular (cartilage) injury to the knee joint occurring during the trauma itself can lead to post-traumatic arthritis of the joint.

How long does it take for a tibia plateau fracture to heal?

at that time. After twelve weeks, patients can be full weight bearing if there is radiographic evidence of healing. In unstable fractures, NWB is maintained for twelve weeks with progression determined by radiograph and surgeon’s preference. 2 At Brigham and Women’s Hospital (BWH), patients with tibial plateau fractures are managed

How are cast and nailing used to treat tibial fractures?

Effect of Ankle Position and a Plaster Cast on Intramuscular Pressure in the Human Leg . Displaced isolated fractures of the tibial shaft treated with either a cast or intramedullary nailing. An outcome analysis of matched pairs of patients..