![]() This weight-bearing force can become 7 times (or more) of a person’s body weight in certain activities. It forms the bottom portion of the knee joint and bears 100% of the body weight during activity when someone transitions to single leg stance. A fractured tibial plateau must be diagnosed and treated immediately to prevent future damage to the knee joint.Ĭommonly known as the shin bone, the tibia is located below or distal to the thigh bone or femur. The bone fracture also affects the knee joint and surrounding soft tissues (skin, muscle, nerves, blood vessels, and ligaments). The tibial plateau is the one of the biggest bones in the body, is the weight bearing bone in the lower leg, and directly affects the knee joint. Recovering from a tibial plateau fracture (upper shin bone) will impact day-to-day activity for an extended time. Unappreciated ligamentous injury causes greater than normal stress on the remaining support structures of the joint, malalignment, and the development of premature osteoarthritis.Recovering from any fractured bone takes time and requires some form of adaptation. The goal of therapy is to reduce the fracture and begin early mobilisation. If the patient is immobilised for a lengthy period (>3 weeks), the joint will not return to the full range of movement.ĭepression of a tibial plateau that is inadequately corrected results in a varus or valgus deformity and accelerated osteoarthritis. MRI is very helpful in the assessment of soft tissue injury around the joint. The Schatzker classification is used in tibial plateau fractures. CTĬT is very helpful in accurately defining the extent of the bony injury and facilitates orthopaedic intervention. Plain radiography often underestimates the severity of the injury. Tibial plateau fractures are complex injuries that require adequate imaging to assess prior to fixation. Schatzker VI: transverse tibial metadiaphyseal fracture, along with any type of tibial plateau fracture.complex high energy mechanism involving varus OR valgus forces with significant axial loading.Schatzker V: wedge fracture of both plateaus. ![]()
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