Tibial Plateau Fracture





Nondisplaced Tibial Plateau Fractures Management:
  Initial Treatment
Splint type & position Long-leg splint or compressive dressing
Knee in full extension; ankle at 90 degrees
Initial follow-up visit Within 3 to 5 days
Pt instructions Icing and strict elevation of the leg
Non-weight bearing
  Follow-up Care
Cast or Splint type & position Hinged brace initially in full extension
Gradual flexion in brace after 10 to 14 days
Flexion to 90 degrees within 3 to 4 weeks
Length of immobilization 8 to 12 weeks until evidence of radiographic union
Healing time 12 to 20 weeks until full function restored
Follow-up visit interval Every 2 to 3 weeks while in brace; then monthly until full function is restored
Repeat radiography interval At first follow-up visit; then weekly for 3 weeks to check position
Every 2 to 3 weeks
Pt instruction Non-weight bearing for 4 to 6 weeks; then partial weight bearing with crutch assistance until solid fracture union
Active knee flexion while in brace
Quadriceps strengthening after brace is removed
Indications for Ortho consult -Vascular injury or compartment syndrome
-Displaced or depressed fractures
-Associated ligamentous or meniscal injury