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Tibial Plateau Fracture: A Comprehensive Guide

What is a Tibial Plateau Fracture?

A tibial plateau fracture is a break in the top part of the tibia, the larger bone in your lower leg. This fracture occurs where the tibia meets the femur, or thigh bone, forming the knee joint.

The tibial plateau is a weight-bearing surface, meaning it plays a crucial role in supporting your body and allowing you to move your knee. A fracture in this area can be a serious injury that requires medical attention.

Tibial Plateau Fracture: A Comprehensive Guide

Causes of Tibial Plateau Fractures

Tibial plateau fractures can happen due to various reasons, including:

  • High-impact falls: Falling from a height, especially on a hard surface, can generate enough force to fracture the tibial plateau.
  • Motor vehicle accidents: The impact of a car crash can cause significant trauma to the lower limbs, including the tibial plateau.
  • Sports injuries: Activities like skiing, snowboarding, and football can put stress on the knee joint, potentially leading to a fracture.
  • Direct blow to the knee: A direct hit to the knee, such as from a collision in sports, can cause the tibial plateau to break.

Symptoms of Tibial Plateau Fractures

The symptoms can vary depending on the severity of the injury. However, some common symptoms include:

  • Severe pain in the knee
  • Swelling and bruising around the knee
  • Difficulty moving the knee
  • Inability to bear weight on the injured leg
  • Deformity of the knee joint
  • Grinding or clicking noises in the knee

Diagnosis of Tibial Plateau Fractures

If you suspect you have a tibial plateau fracture, it’s crucial to see a doctor immediately. They will perform a physical examination and ask about your symptoms and medical history. They may also order imaging tests, such as X-rays, CT scans, or MRIs, to confirm the diagnosis and assess the severity of the fracture.

Treatment of Tibial Plateau Fractures

The treatment for a tibial plateau fracture depends on the type and severity of the fracture. Some fractures may require surgery to repair the damage, while others may be treated with immobilization and physical therapy.

Non-surgical treatment:

  • Immobilization: A cast or brace may be used to immobilize the knee and allow the bone to heal.
  • Pain medication: Pain medication can help manage pain and discomfort.
  • Physical therapy: Once the fracture has healed, physical therapy can help restore range of motion and strength to the knee.

Surgical treatment:

  • Open reduction and internal fixation (ORIF): In this surgery, the surgeon makes an incision in the knee to access the fracture. They then reposition the bone fragments and fix them in place with plates, screws, or wires.
  • Arthroscopy: In some cases, minimally invasive surgery using an arthroscope may be used to repair the fracture or address associated soft tissue injuries.

Recovery from Tibial Plateau Fractures

The recovery time for a tibial plateau fracture can vary depending on the severity of the injury and the type of treatment received. It can take several weeks or even months to fully recover.

Here are some things you can do to help your recovery:

  • Follow your doctor’s instructions carefully.
  • Elevate your leg above your heart level to reduce swelling.
  • Apply ice to the injured area to reduce pain and inflammation.
  • Take your pain medication as prescribed.
  • Attend all your physical therapy appointments.
  • Avoid putting weight on the injured leg until your doctor says it is safe to do so.


What is the long-term outlook for someone with a tibial plateau fracture?

With proper treatment, most people with tibial plateau fractures make a full recovery. However, some people may experience long-term problems such as stiffness, pain, or arthritis in the knee.

How can I prevent a tibial plateau fracture?

There are a few things you can do to reduce your risk of a tibial plateau fracture:

  • Strengthen the muscles in your legs.
  • Maintain a healthy weight.
  • Wear appropriate footwear for the activity you are doing.
  • Be aware of your surroundings and avoid hazards that could cause you to fall.


Tibial plateau fractures can be serious injuries, but with proper treatment and rehabilitation, most people make a full recovery. If you experience any symptoms of a tibial plateau fracture, seek medical attention immediately.

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