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Tibial plateau fracture.

Posted on 1/19/24 at 11:37 pm
Posted by kengel2
Team Gun
Member since Mar 2004
30728 posts
Posted on 1/19/24 at 11:37 pm
Anyone had one of these? What was the rehab or surgery like?
Posted by CroakaBait
Gulf Coast of the Land Mass
Member since Nov 2013
3973 posts
Posted on 1/19/24 at 11:48 pm to
I got stress fractures on both tibial plateaus at one time from skiing a couple of years ago. My PT afterwards was about 4-6 weeks, twice a week, of mainly vastus medialis work. If you actually sheared it to be truly broken, my orthopedic guy said it involves crazy arse exposed screws for a time before even thinking about rehab. Glad mine wasn’t that bad.
This post was edited on 1/19/24 at 11:53 pm
Posted by LSUGrrrl
Frisco, TX
Member since Jul 2007
32857 posts
Posted on 1/19/24 at 11:50 pm to
Long rehab & recovery. Athletes with this injury typically only return to low impact sports.
Posted by POTUS2024
Member since Nov 2022
10933 posts
Posted on 1/20/24 at 12:00 am to
Hope it's mild, best of luck to you, man.
Posted by Eightballjacket
Member since Jan 2016
7313 posts
Posted on 1/20/24 at 12:56 am to
There was a thread about these fractures within the last few weeks. Here’s my response in that one: “One of my kids got a lateral tibia plateau fracture along with a torn lateral meniscus during a soccer match. Still not sure of the mechanics of how it all happened. My kid didn’t need surgery, but was on crutches for a good while.”
Posted by shutterspeed
MS Gulf Coast
Member since May 2007
63217 posts
Posted on 1/20/24 at 12:59 am to
Geology Board.
Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17253 posts
Posted on 1/20/24 at 4:09 am to
Completely depends, anything from walk it off, to massive surgery with lots of therapy /rehab,
Posted by MinneTiger
Member since Dec 2014
1 post
Posted on 1/20/24 at 4:14 am to
Depends on the fracture-
Does it involve the joint?
Throw up a pic
Posted by Rockbrc
Attic
Member since Nov 2015
7909 posts
Posted on 1/20/24 at 4:39 am to
Yes-plates, screws, etc.
Started rehab 9 weeks after surgery and slowly recovered -
Posted by kengel2
Team Gun
Member since Mar 2004
30728 posts
Posted on 1/20/24 at 5:02 am to
Don't have the X-rays, I don't think its to bad as the ER doc had to call the orthopedic to verify. Ortho scheduled an appointment for Monday.

Wasn't me, was the wife(pics of x-ray when I get them).

Who new a Friday driveway drink could be dangerous.
Posted by flyingtexastiger
Southlake, TX
Member since Oct 2005
1633 posts
Posted on 1/20/24 at 5:07 am to
Was overserved and fell climbing into the boat. Hit right on the outside of the knee.

CT scan showed 2mm fracture 90% through. Doc said it fell exactly on the borderline of requiring surgery. Strict crutches and full leg brace and about 10-12 rehab sessions. Took two and a half months to get signed off for return to work. 100% now.

Sounded like surgery is a bigger deal and doc didn’t want to operate unless he had to.

ETA: the 2.5 months was because I needed an FAA medical for the flying job. I could have been back at a desk much quicker.

This post was edited on 1/20/24 at 5:14 am
Posted by Run up middle
DeRidder
Member since Oct 2012
1407 posts
Posted on 1/20/24 at 5:07 am to
Sucks. Plate, screws, non weight bearing 6 weeks, 6 more weeks limited, then rehab slowly. Knee never feels normal again. Good luck though and hope not as severe as mine.
Posted by tiger rag 93
KCMO
Member since Oct 2007
2567 posts
Posted on 1/20/24 at 5:55 am to
As others have alluded to, there are many “flavors” of tibial plateau fractures. A non-displaced fracture only involving one side of the plateau with no joint depression is much different than a bi-condylar fracture with joint line depression.

The first can be non operatively treated in some cases and other cases need plate and screws. 6-12 weeks of non weight bearing and then rehab.

The second case is a beast and requires a much more extensive surgery and rehab and will most assuredly end with post traumatic arthritis.
Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17253 posts
Posted on 1/20/24 at 5:58 am to
quote:

Does it involve the joint?

Can a plateau fracture not involve the joint?
Posted by Lithium
Member since Dec 2004
61876 posts
Posted on 1/20/24 at 6:30 am to
quote:

Does it involve the joint?
The Tibia Plateau is the part of the Tibia that makes the lower part of the knee.

Now I know most OTers know more than a Physician but it depends on how "unlevel" the plateau is. The surgery tries to make it flat again. Now, any Orthobro can replace a hip but a tibia plateau fracture can be a difficult surgery. And don't say your Ortho is a nice guy, they all are nice. Good luck
Posted by geauxnc0308
pineywoods of ET
Member since May 2008
536 posts
Posted on 1/20/24 at 6:37 am to
Posted by jscrims
Lost
Member since May 2008
3547 posts
Posted on 1/20/24 at 6:42 am to
Wife literally has one and I had a thread about it a couple weeks ago.

Hers is a stress fracture and they have special ordered some knee brace for her. 8-12 weeks. She is on crutches right now until the brace gets here.
Posted by kengel2
Team Gun
Member since Mar 2004
30728 posts
Posted on 1/20/24 at 8:09 am to
quote:

jscrims


Damn. I'll check out your thread. This was more a sudden impact. This sucks, didn't even look that bad when it happened, but man it does seem painful.
Posted by Flashback
reading the chicken bones
Member since Apr 2008
8304 posts
Posted on 1/20/24 at 8:21 am to
Which plateau?
Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17253 posts
Posted on 1/20/24 at 8:21 am to
quote:

And don't say your Ortho is a nice guy, they all are nice.


No, not really
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