|
|
Types
of fractures
Tibial Plateau
Symptoms, Signs, and Classification
Fractures of the proximal tibia usually result from a lateral bending
force (eg, as when a car strikes a pedestrian from the side). As the leg
bends, the femoral condyle drives the tibial articular surface down into
the underlying metaphyseal bone, which gives way easily in the elderly
because of osteoporotic weakness. Patients present with knee pain and
effusion, proximal tibial tenderness, and an inability to bear weight.
Although standard anteroposterior and lateral x-rays typically show
displaced fractures, oblique views may be needed to see occult fractures.
Fat globules in blood aspirated from the knee joint are also diagnostic of
an occult fracture.
Treatment and Prognosis
Because soft tissue swelling can cause neurovascular complications,
patients are usually hospitalized so the leg can be elevated and observed.
Following initial traction or continuous passive motion to help mold the
fragments, patients are placed on a regimen of restricted weight bearing
in a long leg brace or cast for 8 to 12 wk. Patients need physical therapy
to learn to walk using ambulatory aids (eg, crutches or walkers). In the
elderly, articular surface displacement of <= 1 cm is usually acceptable,
but severe displacement requires operative reduction of the articular
surface with a bone graft to fill the void left by the impacted trabecular
bone. Unfortunately, weight bearing must be prohibited for 2 to 3 mo
postoperatively, until healing occurs.
Elderly patients have a lower risk than young, active patients of
developing osteoarthritis from joint surface disruption. When it does
develop, total joint replacement is a good option.
No lawyer can tell you at the beginning of your claim how much your case
is worth until he or she has all the medical records, bills and wage loss
analysis in hand. However, by calling
800-437-2571 anytime and
explaining the specific circumstances of your accident and injuries, one
of our experienced personal injury attorneys, may be able to give you a
“ball park figure,” or if you prefer, may also use our convenient
Free Case
Evaluation submission form.
Return to "Types of
Fractures" index
|
