Bone fragments are first repositioned (reduced) into their normal position.Open Reduction and Internal Fixation (ORIF).What types of surgery fix tibial plateau fractures? For severe fractures with multiple pieces, the goal of surgery is to get the joint surface together as best as possible in anticipation of a potential knee replacement once the fracture fragments heal and the arthritis pain becomes more significant.Even if there is only minimal displacement, a fracture involving both tibial plateaus may still benefit from surgical fixation.Biggest concern is significant instability and displacement.Fractures involving both tibial plateaus:.There are multiple classification schemes for these types of fractures, but the most common are involving only one of the tibial plateaus (medial or lateral).If it’s in a critical location or has a significant step-off deformity, treat with surgery to restore the joint surface in almost all circumstances – very important since there is a much higher risk of developing traumatic arthritis if the joint surface is not lined up.Fractures involving only one tibial plateau:.Typically treated non-operatively for up to six weeks to ensure the fracture heals in a good position and doesn’t become displaced.Often discovered in patients who injure themselves, have negative x-rays, and later obtain an MRI that reveals the fracture.Ends of the fracture are displaced Minimally displaced tibial plateau fractures:.In more complex cases, fractures are sometimes managed with external fixation followed by further ORIF at a later time. Tibial plateau surgery is commonly executed with Open Reduction and Internal Fixation (ORIF). The primary aim of surgical management is to restore the articular cartilage surface and ensure proper alignment. Early detection and appropriate treatment of these fractures are essential in minimizing patient's disability in range of movement, stability and reducing the risk of documented complications This joint helps supports your body weight, and when it is fractured, it is unable to absorb shock. These types of fractures are typically seen with high-energy trauma in young patients or low-energy falls in the elderly.įractures of the tibial plateau are complex injuries, especially since it is one of the most critical load-bearing areas in the human body. A tibial plateau fracture is a break or crack in the top of the tibia, at the knee. The tibia (shin bone) is the weight-bearing bone of the lower leg, and its upper portions form two flat surfaces known as the tibial plateaus, that articulate with the femur (thigh bone) to form the knee joint.
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