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What is a tibial plateau fracture?

What is a Tibial Plateau Fracture? A tibial plateau fracture is a break of the larger lower leg bone below the knee that breaks into the knee joint itself. It is rare to only just break the bone. This is an injury that can involve the bone, meniscus, ligaments, muscles, tendons and skin around the knee.

What is a nondisplaced tibial plateau fracture?

A non-displaced fracture of the tibial plateau is when the tibia sustains a break or crack without a fragment of the bone becoming separated. These fractures normally have a better future outcome than displaced fractures and usually, heal without surgical intervention within 3-4 months.

Where is the right tibial plateau?

The tibial plateau is the flat top portion of your tibia bone, which runs from your knee to your ankle. The bottom end of your thigh bone (femur) and the top end of your tibia form your knee joint. The tibial plateau is a relatively flat surface of bone covered in cartilage.

What is tibial plateau Orif?

Open reduction and internal fixation (ORIF) is the mainstay of most tibial plateau fractures, with the aim to restore the joint surface congruence and ensure joint stability. Any metaphyseal gaps can be filled with bone graft or bone substitute.

How does a tibial plateau fracture occur?

Tibial plateau fractures are typically caused by a strong force on the lower leg with the leg in varus or valgus position, or simultaneous vertical stress and flexion of the knee. Commonly seen in road traffic accidents, sports accidents with a high velocity such as skiing, horse riding, and certain water sports.

How is a tibial plateau fracture diagnosed?

The diagnosis for tibial plateau fractures is made with plain radiographs and CT scan. Additional soft tissue injuries to the medial and lateral meniscus, ACL, and the collateral ligaments should all be considered [19].

What is a Bicondylar tibial plateau fracture?

Bicondylar tibial plateau fractures are complex injuries that are frequently difficult to treat. Bicondylar plateau fractures involve some portion of both the medial and lateral articular surfaces, with associated disruption of the articular fragments from the metaphysis.

Can you bend your knee with a tibial plateau fracture?

Symptoms of a Tibial Plateau Fracture Typically, the injured individual is most aware of a painful inability to put weight on the affected extremity. Tenseness Around the Knee; Limited Bending. The knee may feel and appear tense, owing to bleeding within the joint. This also limits motion (bending) of the joint.

What is a nondisplaced fracture?

A nondisplaced fracture is one in which the bone cracks or breaks but retains its proper alignment. Nondisplaced fractures often require only bracing, booting or casting treatment.

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What is a plafond fracture?

A pilon fracture is a type of break of the shinbone (tibia) that happens near the ankle. Most of the time, it includes breaks in both the tibia and fibula of the lower leg. The lower ends of these bones make up part of the ankle. The term “pilon” comes from the French word for pestle.

What is Microtrabecular fracture?

Microtrabecular fractures. Normal trabecular bone maintains structural homeostasis: microtrabecular fractures occur naturally and injured bone is removed and replaced to maintain the health and strength of the bone.

What are the types of tibial plateau fractures?

The Schatzker classification divides tibial plateau fractures into six types: lateral plateau fracture without depression (type I), lateral plateau fracture with depression (type II), compression fracture of the lateral (type IIIA) or central (type IIIB) plateau, medial plateau fracture (type IV), bicondylar plateau …

How do you treat a tibial plateau fracture?

Partially articular factures can be treated by minimally-invasive methods and arthroscopy is useful to assist and control the fracture reduction and to treat intra-articular soft-tissue injuries. Open reduction and internal fixation (ORIF) is the gold standard treatment for these fractures.

Is the medial tibial plateau convex?

Both structures are convex. At the tibial plateau, the medial condyle is concave and 50% larger than the partially convex lateral condyle.

Can you work with a tibial plateau fracture?

Tibial plateau fractures requiring surgery are severe injuries of the lower extremity. Tibial plateau fractures have an impact not only on physically demanding jobs but notably on general professional life too.

Is a tibial plateau fracture serious?

In summary, tibial plateau fractures are serious injuries, usually associated with soft-tissue complications. Staged treatment is recommended in severe cases.

Do you need surgery for tibial plateau fracture?

Most non-displaced fractures of the tibial plateau can be treated without surgery, but they usually require an extended period (up to three months) of protection from walking. If displacement occurs, surgery may be needed to realign the bone fragments and hold them in position.

What is the recovery time for a tibial plateau fracture?

Non-displaced tibial plateau fractures take up to 3-4 months without surgery to heal. When surgery is required these cases take around 4 months to heal.

What is the top of the tibia called?

The top surface of the tibia (the tibial plateau) is made of cancellous bone, which has a honeycombed appearance and is softer than the thicker bone lower in the tibia.

How do you shower with a tibial plateau fracture?

It is ok to shower or sponge bathe 2 days after surgery but you must keep your knee clean and dry at all cost! This usually entails keeping your leg outside the shower, using saran wrap or a large plastic bag to protect your wounds.

What is the name of the bony projection on the tibial plateau?

Intercondyloid eminence – The intercondyloid eminence is the projection between the condyle of the femur (inter means between). This is also known as the tibial spine. What view of the patella will be obtained with the patient prone and the affected knee flexed 90 degrees?

What inserts on medial tibial plateau?

The medial condyle is the medial (or inner) portion of the upper extremity of tibia. It is the site of insertion for the semimembranosus muscle.

Where is tibiofemoral joint?

Brief Anatomy of the Knee The tibiofemoral joint is where the femur meets the tibia. It includes intra-articular structures such as the menisci and cruciate ligaments (ACL and PCL) and extracapsular structure such as the collateral ligaments (MCL and LCL).

Is medial tibial plateau fracture Unicondylar or Bicondylar?

Schatzker ClassificationType ILateral split fractureType IIILateral Pure depression fractureType IVMedial plateau fractureType VBicondylar fracture

What does Bicondylar mean?

The condylar joint is better called bicondylar, for in it two distinct surfaces on one bone articulate with corresponding distinct surfaces on another bone. The two male surfaces are on one and the same bone and are of the same type (ovoid or sellar). Bicondylar joints are quite common. …

What is a Bicondylar femur fracture?

Most reported cases of bicondylar Hoffa fracture have two separate fracture lines and the two condyles are separated from each other. We describe a rare case of conjoint bicondylar Hoffa fracture where both the femoral condyles were joined by a bridge of intact bone adjacent to the intercondylar notch.

What are the 4 types of fractures?

Although there are many types of bone fractures, there are four main categories a fracture usually falls under: displaced, non-displaced, open and closed.

What are the three types of fractures?

• Open Fracture. When a broken bone breaks through the skin, it is classified as an open fracture. …
• Closed Fracture. …
• Displaced Fracture. …
• Subcategories.

What are the 5 types of fractures?

• Stable fracture. This injury occurs when the bone is broken but the halves are still in line with each other. …
• Compound fracture. …
• Transverse fracture. …
• Oblique fracture. …
• Comminuted fracture.

What is a Tillaux fracture?

The term Tillaux fracture is an eponym describing a fracture of the anterolateral tibial epiphysis that is commonly seen in adolescents. The fragment is avulsed due to the strong anterior tibiofibular ligament in an external rotation injury of the foot in relation to the leg.