For example, if you fell from a tree, how far did you fall? It is just as important for your doctor to know if you sustained any other injuries and if you have any other medical problems, such as diabetes. It is important that your doctor knows the circumstances of your injury. This is especially true if the fibula is not broken. If an oblique fracture is initially stable or minimally displaced, over time it can become more out of place. Oblique fracture: This type of fracture has an angled pattern and is typically unstable. This fracture can be unstable, especially if the fibula is also broken. Transverse fracture: This type of fracture has a horizontal fracture line. These types of fractures often require surgery to put the pieces back together. In a stable fracture, the bones usually stay in place during healing.ĭisplaced fracture: When a bone breaks and is displaced, the broken ends are separated and do not line up. The broken ends of the bones basically line up correctly and are aligned. Stable fracture: This type of fracture is barely out of place. The fibula is often broken as well.Ĭommon types of tibial fractures include: The severity of the fracture usually depends on the amount of force that caused the break. U.S.The tibia can break in several ways. Eunice Kennedy Shriver National Institute of Child Health and Human Development.Centers for Disease Control and Prevention.As the bones heal, physical therapy is recommended to restore normal muscle strength, range of motion, and stability. Weight bearing activities may be extremely limited while recovering and it may take up to 3 months of healing before full weight bearing can be done safely. Internal fixation devices, including plates, rods or screws, may also be used to maintain proper position of the bone during healing. Severe or multiple fractures may require external fixation, which uses an outer metal rod and pins to hold the bone or bones in place until they heal. Depending on the degree of displacement, surgical or nonsurgical methods may be used to manipulate the bones back into position. Treatment for a tibial plateau fracture may vary based on the severity of the injury and may include:Ī displaced tibial plateau fracture may require the broken bones to be realigned, prior to casting. During a fasciotomy, incisions are made to release the skin and muscle coverings and reduce swelling. This condition may require an emergency surgical procedure, known as a fasciotomy. Compartment syndrome can affect the blood supply to the muscles and nerves in the leg and foot. Severe swelling of soft tissue caused by a tibial plateau fracture, may cause a rare and serious condition known as compartment syndrome to develop. Complications of a Tibial Plateau Fracture Imaging tests allow the physician to identify the exact location of the fracture and determine whether the fracture is considered displaced. Diagnosis of a Tibial Plateau FractureĪ tibial plateau fracture is diagnosed after a physical examination of the knee and leg as well as imaging tests that may include X-rays, CT scans or MRI scans. If the foot of the injured leg appears pale in color or cool to the touch, it may be a sign that blood circulation is impaired. Pain that worsens when weight is applied.Symptoms of a tibial plateau fracture may include: Fractures of the tibial plateau affect the alignment, stability and movement of the knee. An injury to the tibial plateau is especially distressing on the body, as the majority of standing body weight rests on this bone. A fracture may also cause the bone to break into two or several pieces. Fractures that involve the tibial plateau often occur when an injury pushes the lower end of the thighbone (femur) into the soft bone of the tibial plateau, causing the soft cancellous bone to compress and remain sunken. A tibial plateau fracture is often the result of a fall, or a sports-related or a traumatic injury. The tibial plateau is the top surface of the tibia, or shin bone, made of cancellous, or cartilage-like bone.
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