Tibial plateau fracture medical therapy
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Tibial plateau fracture Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]
Overview
The non operative management is in the form of above knee cast or hinge knee brace for nondisplaced stable split fractures, fractures in elderly or patients with osteoporosis and minimally displaced or depressed fractures.
Non Operative Treatment
The non operative management is in the form of above knee cast or hinge knee brace.[1][2][3]
Hinged knee brace with partial weight bearing 8-12 weeks and passive Range of Motion
Indications
- Nondisplaced stable split fractures
- Minimally displaced or depressed fractures.
- Submeniscal rim fractures.
- Fractures in elderly or patients with osteoporosis.
Advantages
- It is a simple technique.
- No surgical trauma or risk for sepsis.
- Shorter hospital stay.
- Early joint mobilization if functional cast brace is used and delayed weight-bearing
Complications
- Risk of displacement and need for surgery
- Prolonged immobilization
- Complications of recumbency such as:
- Pulmonary embolism
- Phlebitis
- Joint stiffness
- Instability
- Post-traumatic arthritis
References
- ↑ Molenaars RJ, Mellema JJ, Doornberg JN, Kloen P (2015). "Tibial Plateau Fracture Characteristics: Computed Tomography Mapping of Lateral, Medial, and Bicondylar Fractures". J Bone Joint Surg Am. 97 (18): 1512–20. doi:10.2106/JBJS.N.00866. PMID 26378267.
- ↑ Le Baron M, Cermolacce M, Flecher X, Guillotin C, Bauer T, Ehlinger M; et al. (2018). "Tibial plateau fracture management: ARIF versus ORIF - clinical and radiological comparison". Orthop Traumatol Surg Res. doi:10.1016/j.otsr.2018.10.015. PMID 30584002.
- ↑ Rockwood, Charles (2010). Rockwood and Green's fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.