The bones are placed into their proper position then screws are used to attach a plate to the outer surface of the bones to hold them in place during healing. Plates and screws-This approach may be used when a fracture extends into the knee or ankle joint.Screws above and below the fracture secure the rod in place. A rod is inserted into the canal that runs down the center of the bone the rod passes through the fracture to keep the pieces in alignment and stable during healing. Intramedullary nailing-This is the most common approach for tibia fractures.Most tibia fractures are treated using one of three techniques: The aim of tibia fracture surgeries is to reconnect the bone and keep it in place as it heals. In most cases, a tibia fracture requires surgery. You will likely need to use crutches to keep weight off the bone as it heals. After several weeks, the cast may be replaced with a brace. If a nonsurgical treatment is advisable, your doctor may apply a cast to immobilize the bone and allow it to heal. It may also be an appropriate choice for a patient who is less active or who has health problems that could complicate surgery or recovery. A nonsurgical approach may be considered if the break is minor and does not extend into a joint. Unappreciated ligamentous injury causes greater than normal stress on the remaining support structures of the joint, malalignment, and the development of premature osteoarthritis.In some cases, it’s possible to treat a tibia fracture without surgery. #Tibia fracture fullThe goal of therapy is to reduce the fracture and begin early mobilization. If the patient is immobilized 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 orthopedic 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.Schatzker IV: medial plateau fracture with a split or compressed portion.Schatzker III: compression fracture of the lateral plateau.valgus force (moderate association with medial collateral ligament and medial meniscus injury).Schatzker II: wedge-shaped lateral plateau fracture with compression fracture of ipsilateral plateau.valgus force with axial loading (femoral condyle rams the tibial plateau).Schatzker I: wedge-shaped lateral plateau fracture.The Schatzker classification is a useful classification to categorize the mechanism of injury 1: The fracture pattern will depend on the mechanism of injury. to cruciate and collateral ligaments) occur in approximately 10% of patients.įractures of the lateral plateau are much more common than the medial plateau. To injure the medial plateau, a large amount of force is required fractures of the medial plateau are usually seen in conjunction with fractures of the lateral plateau and other bones around the knee joint. fall from a significant height. In younger patients, the most common pattern of fracture is splitting, while in older, more osteoporotic patients, depression fractures typically are sustained. The most common mechanism of injury involves axial loading, e.g.
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