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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can A Tibial Plateau Fracture Be Treated?

I have a 2m fracture of my tibial plateau and have been told no weight bearing. When it first happened I had x-rays that day and didn't see a doctor until 10 later and then had an mri which showed the fracture. Before that I was walking on the leg not knowing it was fractured. I am concerned now that I may have made the fracture worst.
Thu, 16 Nov 2017
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Ayurveda Specialist 's  Response
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Thanks for contacting with your health concern

1. You can walk in the early stages of 'stress fracture' [not knowing you have fracture], and since the condition didn't worsen nor the pain was too extreme that might be the reason of walking for 10 hours, but now because it is diagnosed you should take following precautions and care:

i. Immobilisation is necessary and if the plaster is applied make sure to keep your muscles active:

- joints that are outside the plaster, should be moved through full range, repeatedly.
- you should concentrate and contract the muscles that are inside the plaster to minimize their wasting and preserve their power.

ii. Avoid putting weight on your on affected leg as it will prevent the fracture from healing and may result in malunion.

2. keep in mind that tibial plateau fracture carries a high risk of damage to the anterior cruciate ligament, collateral ligament, menisci, and articular cartilage which are essential for knee functioning and although repairable can predispose younger patients to early onset of Osteoarthritis [OA], consult with your Orthopedic surgeon regarding all the points.

PS. If the doctor is able to reestablish joint stability, alignment, and articular congruity while preserving the full range of motion, then painless knee function may be achieved and posttraumatic arthritis can be prevented.

3. As tibial plateau fracture is of two types: displaced [surgical intervention] and non displaced [medicine and physiohterapy], thus treatment will depend upon the variety concerned.
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How Can A Tibial Plateau Fracture Be Treated?

** Thanks for contacting with your health concern 1. You can walk in the early stages of stress fracture [not knowing you have fracture], and since the condition didn t worsen nor the pain was too extreme that might be the reason of walking for 10 hours, but now because it is diagnosed you should take following precautions and care: i. Immobilisation is necessary and if the plaster is applied make sure to keep your muscles active: - joints that are outside the plaster, should be moved through full range, repeatedly. - you should concentrate and contract the muscles that are inside the plaster to minimize their wasting and preserve their power. ii. Avoid putting weight on your on affected leg as it will prevent the fracture from healing and may result in malunion. 2. keep in mind that tibial plateau fracture carries a high risk of damage to the anterior cruciate ligament, collateral ligament, menisci, and articular cartilage which are essential for knee functioning and although repairable can predispose younger patients to early onset of Osteoarthritis [OA], consult with your Orthopedic surgeon regarding all the points. PS. If the doctor is able to reestablish joint stability, alignment, and articular congruity while preserving the full range of motion, then painless knee function may be achieved and posttraumatic arthritis can be prevented. 3. As tibial plateau fracture is of two types: displaced [surgical intervention] and non displaced [medicine and physiohterapy], thus treatment will depend upon the variety concerned.