What is schatzker classification?
The Schatzker classification divides tibial plateau fractures into six types: lateral plateau fracture without depression (type I), lateral plateau fracture with depression (type II), compression fracture of the lateral (type IIIA) or central (type IIIB) plateau, medial plateau fracture (type IV), bicondylar plateau …
What is a comminuted tibial plateau fracture?
A tibial plateau fracture is a break of the larger lower leg bone below the knee that breaks into the knee joint itself. It is rare to only just break the bone. This is an injury that can involve the bone, meniscus, ligaments, muscles, tendons and skin around the knee.
What is a Unicondylar tibial plateau fracture?
Abstract. Tibial plateau fracture is a rare complication of unicompartmental knee arthroplasty. The fracture almost always occurs during surgery, and it is likely to be the result of a technical error, usually an unnecessarily deep vertical saw cut into the proximal tibia.
What is a non displaced lateral tibial plateau fracture?
A non-displaced fracture of the tibial plateau is when the tibia sustains a break or crack without a fragment of the bone becoming separated. These fractures normally have a better future outcome than displaced fractures and usually, heal without surgical intervention within 3-4 months.
What is a schatzker VI tibial plateau fracture?
Schatzker type V and VI tibial fractures are complex injuries, usually treated with open reduction and internal fixation (ORIF) using dual plates or ring fixators. ORIF has the advantage of not requiring pin tract care, but has a higher infection rate, especially in open fractures.
What is comminuted fracture mean?
Comminuted fractures are a type of broken bone. The term comminuted fracture refers to a bone that is broken in at least two places. Comminuted fractures are caused by severe traumas like car accidents. You will need surgery to repair your bone, and recovery can take a year or longer.
Do all tibial plateau fractures require surgery?
Most non-displaced fractures of the tibial plateau can be treated without surgery, but they usually require an extended period (up to three months) of protection from walking. If displacement occurs, surgery may be needed to realign the bone fragments and hold them in position.
Can you bend your knee with a tibial plateau fracture?
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.
Can you walk on a non displaced tibial plateau fracture?
Yes you may be able to walk with a tibial plateau fracture, but it is not recommended. The size of the tibial plateau fracture can be hairline or it can be complicated with at multiple broken pieces of bone which have shifted. The worse the fracture the more pain you will have and less weight you can put on the leg.
Do all comminuted fractures require surgery?
Comminuted fractures are almost always caused by serious traumas like car accidents or falls from a high place. They are very serious in large bones, and you will often need surgery to repair your bones. Sometimes, comminuted fractures happen to smaller bones and can heal without surgery.
How long does it take for a comminuted tibia fracture to heal?
Recovery. Most tibial shaft fractures take 4 to 6 months to heal completely. Some take even longer, especially if the fracture was open or broken into several pieces or if the patients uses tobacco products.
How long does it take to walk again after a tibial plateau fracture?
Tibial Plateau Fracture Rehab: 6-12 months After six months, non-athletes can return to their ordinary activities.
Is a comminuted fracture serious?
Comminuted fractures are very serious injuries. If you experienced other injuries during the original trauma, your life might be impacted forever. Because the traumas that cause comminuted fractures are often life-threatening accidents it’s tough to separate one from the other.
How long is physical therapy after tibial plateau fracture?
Full Weight Bearing Stage However, a full return to sports for professional athletes might take up to 12 months.
When do you start physical therapy after tibial plateau fracture?
Tibial Plateau Fracture Rehab: Weeks 1-6: Your therapist will begin immediately with steps to reduce inflammation, calm pain, and begin to promote healing. The therapist focuses on maintaining knee extension and non-weight-bearing movement to promote healing and to prevent further pain and reinjury.
How serious is a comminuted fracture?
They are very serious in large bones, and you will often need surgery to repair your bones. Sometimes, comminuted fractures happen to smaller bones and can heal without surgery. How long it takes to recover depends on which of your bones are fractured and what caused the breaks.
Is a comminuted fracture considered traumatic?
A comminuted fracture is a break or splinter of the bone into more than two fragments. Since considerable force and energy is required to fragment bone, fractures of this degree occur after high-impact trauma such as in vehicular accidents.
How are tibial plateau fractures classified?
Schatzker classification system is one method of classifying tibial plateau fractures. Increase in type number denotes increasing severity, reflecting an increase in energy imparted to the bone at the time of injury and also an increasingly worse prognosis 1. The most common fracture of the tibial plateau is type II.
What is the Schatzker classification of tibial plateau fractures?
Schatzker classification of tibial plateau fractures. Schatzker classification system is one method of classifying tibial plateau fractures. Increase in type number denotes increasing severity, reflecting an increase in energy imparted to the bone at the time of injury and also an increasingly worse prognosis 1.
How are tibial plateau fractures diagnosed and treated?
Tibial plateau fractures are periarticular injuries of the proximal tibia frequently associated with soft tissue injury. Diagnosis is made with knee radiographs but frequently require CT scan for surgical planning. Treatment is often surgical reduction and fixation in the acute setting versus delayed fixation after soft tissue swelling subsides.
What is the incidence of fibular head fractures in bicondylar tibial plateau fractures?
Zhu et al.reports an incidence of fibular head fractures in bicondylar tibial plateau fractures of 63.41%8. The proximal fibular zone is comprised of ligaments, tendons, the common peroneal nerve, and tibiofibular bony structure.