A tibial plateau fracture is a complete or incomplete break in the larger of the two leg bones (tibia) involving the knee joint. This fracture is common due to the lack of soft tissue around the structure and the relatively soft bone of the tibia at the knee joint. These have been called “bumper injuries” due to the susceptibility of the tibial plateau to fracture when hit by a car bumper. Initial treatment consists of medications, elevation of the leg, and ice to relieve pain and reduce swelling. Treatment requires immobilization with a cast or brace if the fracture is in proper alignment and position. Surgery is recommended to reduce the fracture into proper alignment and position, using plates or screws to correct the alignment if the fracture results in an uneven joint. surface.
Frequent Signs and Symptoms
- Severe pain in the leg at the time of injury
- Tenderness and swelling in the leg or calf
- Bleeding and bruising in the leg
- Inability to bear weight on the injured extremity
- Visible deformity if the fracture is complete and the bone fragments separate enough to distort normal leg contours
- Numbness and coldness in the leg and foot beyond the fracture site if the blood supply is
Impaired
Etiology (Causes)
- Injury causing a force greater than the bone can withstand
- Usually due to a direct blow
- Indirect stress caused by twisting or bending