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how to rehab an occult tibial plateau fracture

by Ben Bins Published 2 years ago Updated 1 year ago
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What are the guidelines for a tibial plateau fracture?

Dec 17, 2021 · Your Easy & Proven Tibial Plateau Fracture Rehab Protocol. Your tibial plateau supports most of your body weight. It’s heavily built and designed to withstand a lot of heavy lifting, so tibial plateau fractures are rare - but they can happen. An effective treatment regimen and healthy lifestyle choices can get patients back on their feet.

What is an occult tibial plateau fracture?

Occult tibial plateau fractures are not be easily diagnosed on a radiograph. For occult tibial plateau fractures, non-operative conservative therapy should be a first-line treatment. 1 However, these fractures can cause severe sequelae if they are not properly diagnosed and rapidly treated. 2 When this occurs, patients may waste time and money compared with appropriate treatment.

How long does it take to recover from a tibial plateau fracture?

REHABILITATION GUIDELINES FOR TIBIAL PLATEAU FRACTURE PHASE I (WEEKS 1-6) DATES: Appointments • MD follow up visit at 2 weeks post op • Begin physical therapy for knee ROM at 2 weeks post op Rehabilitation Goals • Maintain knee EXT to allow incisions to heal and prevent knee flexion contracture

Is primary total knee arthroplasty an option for patients with tibial plateau fractures?

Nov 25, 2014 · Answer: Occult tibial plateau fracture. The x-ray film demonstrates a fat-fluid level. Even if no fracture is actually seen, a fat-fluid level means an occult fracture is present-a finding similar to the fat-pad sign after an elbow injury. In the knee, the occult fracture is most often a nondisplaced lateral tibial plateau fracture.

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How do you rehab a tibial plateau fracture?

Tibial Plateau Fracture Rehab: 6-12 months After six months, non-athletes can return to their ordinary activities. Athletes will, by contrast, begin to implement sports-specific drills, plyometrics, unilateral exercises, and running on the AlterG treadmill for cardiovascular recuperation.

How long does it take to fully recover from a tibial plateau fracture?

The length of time it takes to recover from a tibial plateau fracture depends on the severity of the fracture and your overall health. Most fractures take 4 months to completely heal. In more severe cases, it can take up to 6 months.Jun 4, 2021

Can you fully recover from a tibial plateau fracture?

We conclude that there is significant impairment of movement and muscle function after fracture of the tibial plateau and that the majority of patients have not fully recovered one year after injury. Loss of movement and reduced muscle function affects recovery after intra-articular fractures.

How long is physical therapy after tibial plateau fracture?

Full Weight Bearing Stage By this time, you should be returning to your normal daily life and ready to hit the gym or sports training facilities. However, a full return to sports for professional athletes might take up to 12 months.Dec 17, 2021

Can I bend my knee after tibial plateau fracture?

Yes, bending the knee can start immediately after tibial plateau fracture if you did not have surgery. If you had surgery then you can start bending the knee to 90 degrees 1 week after surgery. Once the incision is fully healed (10-14 days) you can go past 90 degrees of knee bend.

Should I wear a knee brace after tibial plateau fracture?

Symptoms post tibial plateau fracture surgery After your surgery you will be required to wear a cast or knee brace for as long as it is necessary until there has been sufficient healing of the fracture. Your leg will be maintained in extension to ensure healing of the surgical incision.

When should I start weight bearing after a tibial plateau fracture?

Patients with tibial plateau fractures will be instructed to touch down (toe touch or foot flat) weight bear (approximately 10% of body weight) for at least 6 weeks. After the 6 week post op visit, patients may begin weight bearing as tolerated until full weight bearing is achieved.Jul 22, 2019

How serious is a tibial plateau fracture?

In summary, tibial plateau fractures are serious injuries, usually associated with soft-tissue complications. Staged treatment is recommended in severe cases. Minimally-invasive osteosynthesis, when possible, is recommended in partial articular fractures.May 31, 2016

What is the fastest way to heal a broken tibia?

How to heal a bone fracture as fast as possibleFracture management – Including closed reduction (bone alignment through manipulation or traction), immobilization (using a splint or cast) and rehabilitation (physical therapy)Physical therapy – To regain strength and normal function in the affected area.More items...

How long does it take for a tibial plateau fracture to heal?

Tibial plateau fracture recovery is relatively easier in this case – it does not require surgical intervention and may heal within 3-4 months. You just need to ensure that you do not bear any weight on your affected leg and wear a knee brace as well.

How long does it take to recover from a fractured tibia?

You usually require surgical intervention to fix the problem – your doctor will use screws and plates to re-fix those fragments. It takes several months to recover from this type of injury.

What is the tibial plateau?

The upper surface of the tibia or shinbone is called the tibial plateau. If you engage in activities such as horse riding, skiing, and certain water sports, you are likely to get a tibial plateau fracture. Since the tibial plateau contains certain structures essential for proper functioning of your knees, a fracture to this area may lead to some serious consequences. Fractures of the tibial plateau are usually associated with injuries to the collateral ligaments (LCL or MCL), anterior cruciate ligament, menisci and articular cartilage. It is possible to repair the damage, but the injury can lead to the early onset of osteoarthritis. Moreover, you need to be careful during tibial plateau fracture recovery to ensure you do not have to deal with serious complications.

How to manage pain after surgery?

It is obvious to feel pain after your surgery or injury, but you can certainly take steps to manage it better. Your doctor may prescribe painkillers that you have to take on a short-term basis only.

Is it a good idea to quit smoking?

Keep in mind that your commitment to physical therapy will make a big difference in how long it takes you to recover completely. If you smoke, it is a good idea to quit smoking because it interferes with the healing process.

How to stop knee stiffness?

Your doctor will confirm when you should start putting pressure on your leg and get moving again. It is important to start moving your knee at the right time to prevent knee stiffness. You will have to work with a physical therapist to learn about some passive exercises, which will help strengthen your knee.

Can you bend your knee?

You may notice some tension around your knee; it may be difficult to bend your knee completely. You may have deformity around your affected knee, but the leg may look normal. You may notice your foot look pale or feel cold after the injury. You may notice numbness around your foot after the injury.

How long does it take for a tibial plateau fracture to heal?

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. After this healing period, Physical Therapy most often continues until at 6 months, a patient is typically able to return to a normal life, albeit with certain limitations.

What happened to JJ Watt?

In October of 2017, NFL star defensive end JJ Watt of the Houston Texans crashed into an opposing quarterback while attempting a tackle. He was carted off the field on a stretcher with a tibial plateau fracture (TPF). Watt had suffered a break in a part of his shin bone (tibia), called the tibia plateau.

What is a tibial plateau fracture?

A tibial plateau fracture is a break in the upper part of the shin bone, which affects the stability and movement of the knee joint .

How is a tibial plateau fracture treated?

X-rays are necessary to accurately diagnose a tibial plateau fracture. If soft tissue (ligaments, cartilage, etc.) damage is suspected, magnetic resonance imaging ( MRI ) may also be ordered.

What are the vitamins that help bone heal?

Vitamins that play an important role in bone healing include: Vitamin C, Vitamin K, the Vitamin B-series. Be sure to eat a varied diet and Consider using a multi-vitamin for Vitamins and minerals ( link ).

How long after surgery can you recover?

Given all of these differences it is still quite safe to say that for most people, if you the injury was treated by surgery, you will still be in some kind of recovery for a complete year after your injury¹. In most cases it will be more than that, Improvement showing up to three years after.

What to do if you don't get enough protein?

If you think you are not getting enough protein consider using protein powder to supplement your daily protein intake ( link ), or adding protein rich food to your diet (meat, eggs, milk products, nuts & seeds). Minerals are very important for several reasons. By weight bone is about 70% minerals.

Can magnesium cause muscle cramps?

The high need for minerals will mean you might no be getting enough of them, which can cause other problems. If you are depleted in magnesium for example this may cause muscle cramps which are not much fun during a Tibial Plateau fracture.

What is the goal of physiotherapy?

Physiotherapy is going to be a regular part of your life. The are several goals: increase ROM, increase muscle-mass, teach your musculoskeletal system to operate as before and increase your stability.

Can crutches hurt your hands?

Crutches are hard to use at first, and may be painful on the hands and shoulder, but don’t worry you will get used to them very quickly. And as a bonus you will develop very strong arm muscles. In some cases, overuse and pressure on your hands can cause secondary injuries to your wrists, arms or shoulders.

How long does it take to get weight bearing after knee surgery?

Weight Bearing. For a period of about 6-8 weeks after the surgery you will be NWB (non-wait-baring), this means that you can not put any pressure on your knee and leg and will need to use a wheelchair, crutches or both. For some injuries it might take up to 12 weeks until allowed FWB (Full weight bearing).

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