A tibial plateau fracture is a serious injury that requires prompt medical attention and treatment. The approach for managing this type of fracture involves several key steps.
First, the patient’s condition must be stabilized to prevent further damage to the knee joint and surrounding structures. This may involve immobilizing the leg with a splint or cast to keep the bones in proper alignment.
Next, the extent of the fracture must be assessed through imaging studies, such as X-rays or MRI scans, to determine the severity and location of the injury.
Once the fracture has been properly diagnosed, the appropriate treatment plan can be established. This may involve surgical intervention to realign the bones and stabilize the joint with screws, plates, or pins.
Following surgery, physical therapy and rehabilitation are essential for restoring strength and function to the knee joint. A structured rehabilitation program can help patients regain mobility and reduce the risk of long-term complications, such as arthritis.
Overall, the approach for managing a tibial plateau fracture involves a combination of stabilization, diagnosis, treatment, and rehabilitation to achieve the best possible outcome for the patient.
A posterolateral/posteromedial approach was adopted primarily to fix main fragment in posterior tibial plateau, and intraoperative assessment of the stability of knee was done. An anterior approach was added if required.
A posteromedial approach with a limited lateral percutaneous incision can be used to achieve adequate fixation in a patient with a Schatzker type V tibial plateau fracture with a large posterior shear fragment.Mar 1, 2020
The anterolateral approach is the mostly used to treat tibial plateau fractures in the clinic. In order to achieve a successful outcome and minimize the risk of complications, the key point is to master the surgical techniques in detail, and protect soft tissue, following the concept of minimally invasive surgery.
Postoperative management of tibial plateau fractures classically involves a prolonged period between 10 and 12 weeks of nonweight bearing or partial weight bearing. In recent years, there has been some support for earlier weight-bearing protocols although this remains controversial.
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