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Tibial Plateau Fracture, Bone Bruises In Femur, Fibula. On Long Leg Cast. ACL Repair Needed?
Hi, my son who is 14yrs old was injured while playing football. The MRI and X-rays shows he has a Salter type-4 tibial plateau fracture centered medially and anteriorly. He also has bone bruises in the distal femur and fibula and possibly a partial tear to the ACL. He also has large associated hemarthrosis. His doctor has placed him in a long leg cast for 6-8 weeks and does not know if an ACL repair will be needed. He plays all sports and is only a child. What do you suggest?
Nonsurgical management of isolated ACL tears is likely to be successful or may be indicated in patients: •With partial tears and no instability symptoms •With complete tears and no symptoms of knee instability during low-demand sports who are willing to give up high-demand sports •Who do light manual work or live sedentary lifestyles •Whose growth plates are still open (children)
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Tibial Plateau Fracture, Bone Bruises In Femur, Fibula. On Long Leg Cast. ACL Repair Needed?
Hi, Thanks for writing in. Sorry to hear about your son s knee injury and fracture with associated ACL partial tear and hemarthrosis. Nonsurgical management of isolated ACL tears is likely to be successful or may be indicated in patients: •With partial tears and no instability symptoms •With complete tears and no symptoms of knee instability during low-demand sports who are willing to give up high-demand sports •Who do light manual work or live sedentary lifestyles •Whose growth plates are still open (children) Hope your question is answered