Tibial Plateau Fracture Fixation

A tibial plateau fracture is a break in the upper portion of the tibia (shinbone) that involves the knee joint surface. These fractures are often caused by high-energy trauma, such as falls or car accidents. Fixation involves surgically repairing the broken bone fragments and stabilizing them with hardware to promote healing and restore knee function.

Surgery is typically necessary for:
Displaced Fractures: When the bone fragments are significantly out of place.
Intra-articular Fractures: When the fracture extends into the knee joint surface.
Open Fractures: When the broken bone has pierced the skin.
Associated Ligament Injuries: When the fracture is accompanied by torn ligaments in the knee.
Instability: When the fracture results in knee instability.
Compartment Syndrome: When there is increased pressure in the compartments of the leg.

Open Reduction and Internal Fixation (ORIF): Surgical realignment of the bone fragments and fixation with screws and plates.
External Fixation: Using pins and an external frame to stabilize the fracture (often used for temporary stabilization or in severe soft tissue injuries).
Percutaneous Pinning: Using small incisions and pins to hold the bone fragments in place (less common for tibial plateau fractures).

Anesthesia: General or regional anesthesia is used.
Incision(s): Incisions are made around the knee.
Fracture Reduction: The broken bone fragments are realigned.
Fixation: Screws and plates are used to stabilize the fracture.
Bone Grafting: In some cases, bone grafting may be necessary to fill gaps in the bone.
Closure: The incisions are closed with stitches or staples.

Hospital Stay: A hospital stay is typically required.
Pain Management: Pain medication is prescribed.
Elevation and Ice: Elevation and ice are important to reduce swelling.
Non-Weight-Bearing: Strict non-weight-bearing is required for a period of time.
Physical Therapy: Rehabilitation is crucial for regaining knee strength, stability, and range of motion.
Activity Restrictions: Certain activities are restricted for several months.
Follow up: Regular follow up appointments are needed.