Treatment of tibia plateau fractures

Non-operative treatment
Temporary external fixation
Operative Treatment of Shaft-Dissociated Patterns

 Non-operative Treatment










Maintain limb alignment with a cast brace or traction

Bracing to unload the injured side of the joint


4-8 weeks of no weight bearing 

Temporary External Fixation

Indications : Largely displaced fracture, Severe soft tissue injury

Non-invasive

Maintains length and alignment while soft tissue injury recovers

Lowers wound infection rate

Operative Treatment of Shaft-Dissociated Patterns

Frequently treated with a lateral side locking plate only

If medial side is nondisplaced or if the fragment is large and not comminuted

Complex medial side patterns  two approaches to avoid varus collapse or inaccurate medial side reduction


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