Tibial Plateau Fracture Non-Surgical Treatment
Can a tibial plateau fracture be treated without surgery?
The treatment of a tibial plateau fracture without surgery depends on the severity and specific characteristics of the fracture. In some cases, especially with less severe fractures, non-surgical or conservative approaches may be considered. Here are some factors that influence the decision between surgical and non-surgical treatment:
- Non-Displaced Fractures: If the fracture is non-displaced, meaning that the bone fragments are still in proper alignment, conservative measures may be considered.
- Stable Fractures: Stable fractures that do not compromise the stability of the knee joint may be managed without surgery.
For patients who are candidates for non-operative treatment, the focus of care will be on reducing pain, swelling, and inflammation, while also improving overall stability and function of the knee.
During the initial period after the injury, it is essential to rest the knee and avoid activities that worsen the pain.
Oral anti-inflammatory and pain-relieving medications, such as Meloxicam, Naproxen, Advil, or Ibuprofen, may help to manage the pain and reduce inflammation of the knee. Applying ice packs and compression to the knee can also help reduce swelling and inflammation. Remember to use a cloth or towel between the ice pack and your skin to avoid frostbite.
A structured physical therapy program can be beneficial for strengthening the muscles around the knee and improving overall joint stability. A physical therapist can guide you through exercises that focus on the quadriceps, hamstrings, and calf muscles to provide this additional support to the knee. Additionally, proprioceptive training can enhance knee stability. Proprioception is the body’s ability to sense joint position and movement, and improved proprioception can help with knee stability and control during activities. It is important to complete any home exercises that your physical therapist provides to you in order to optimize your recovery.
An immobilizer brace or a hinged knee brace locked in extension may be ordered by Dr. Chahla to be worn for the initial 4-6 weeks following the injury.
The goal of an intra-articular injection is to manage pain and inflammation of the knee. Therefore, injections may be used as a short-term measure to manage these symptoms during an episode of more intense pain. However, it’s crucial to understand that an intra-articular injection will not heal a tibial plateau fracture. Additionally, receiving an intra-articular injection to the knee will delay any surgical intervention for at least 3 months following the administration of the injection.
At a Glance
Dr. Jorge Chahla
- Triple fellowship-trained sports medicine surgeon
- Performs over 700 surgeries per year
- Assistant professor of orthopedic surgery at Rush University
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