Tibial plateau fracture: Signs, symptoms and current treatments
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- เผยแพร่เมื่อ 25 ส.ค. 2023
- What exactly is a tibial plateau fracture? How do these knee injuries occur? In this video, I will explain how you break the tibial plateau and what treatments exist to help you heal and recover as well as possible.
If you have knee, hip, shoulder, or other joint pain and you want to get significantly better in the next 30 days, without cortisone shots, physical therapy, or surgery, click this link and share your injury information in the description box to learn more.
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Dr. David Geier is a triple-board certified orthopedic surgeon, sports medicine specialist, and anti-aging and regenerative medicine expert. Dr. Geier helps you feel, look, and perform your best regardless of age or injury.
Dr. Geier believes that the best way to return to peak performance after a bone or joint injury is to get the injury to heal without surgery. Instead of invasive surgeries with long recoveries and unpredictable results, he uses innovative treatments, medications, and injections. The goal of this approach is not just to decrease your pain, but also to heal your injury and prevent it from coming back. But it’s not just about your injury and recovery. It’s about getting you back to what you love to do - your favorite sport, exercising every day, or even just playing with your kids and getting through your work day without pain. He aims to help you optimize your performance through improved strength, energy, endurance, speed, muscle and more. He wants to help you overcome your injury but also recharge your entire body so that you feel like you’re back in your twenties.
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I am 3 weeks post operation and I still couldn't bend my knee past 90 degree,is this normal or what can I do to regain my full range of motion back? Thank you Doc!
Was told a torn MCL or Meniscus from a ski accident, was on crutches for 10 days and knee brace.. felt better, was told I’d be fine walking around & hiking but still pain in my knee. 2.5 months later an MRI showed it was a nondisplaced fractured tibia plateau the entire time. Doctor is telling me to keep doing what I am doing and start PT. But it’s terribly painful & I can barely walk now. Man… what a bummer! This has been the longest injury ever
Thank you for taking the time in making this video! It is an injury people think is only a " broken leg" 😢. It's a long recovery and there are FB support groups surgical and non surgical to help understand the recovery.
I just got a non-displaced lateral impact fracture. No surgery needed, but boy, sitting around for 6 weeks is hard work!
In the same boat. On week 5 right now
I’ve got a non displaced fracture as well, not sure if I need surgery :(
I had the exact same thing. Sept 17 MTN bike crash. No surgery. Just 4 very boring weeks NWB in a straight splint. Now 10 weeks later I have full weight bearing, ROM and no limp! We are the lucky ones.
@@user-mp6vr2bf9u. I was in the same position. An information vacuum. No one said anything except to wear the brace and no weight bearing for 4 weeks. My first visit to the ortho was 4 weeks post injury. I was expecting him to trade my straight splint for a hinged one. Instead he said “you don’t need a brace anymore!” Started weight bearing. All good now, 10 weeks later
@@winchestertonfieldville8973 I hope your still doing good man
Hi Doctor,
I love in Sacramento, CA.
I work the sidelines at the local college football games.
But 10 years ago 3 player crashed a sideways into my right knee causing it to deflect inwards about 4".
My ligaments & cartridge were fine but I did sustain Significant Tibia plateau fracture!
It was Surgically repaired & after 3 month of NO weight bearing followed by a extended period of rehab. ( veryhard work), that knee feels fine !
I broke my TP in three places after running into a trip wire at a spook house around Halloween 2023. Thanks for helping me understand better. I was pretty doped up when everything was explained to me. I am non weight bearing for the next two months. Pt is going good twice a week. Hope start trying to walk in March 2024.
I'm glad it was helpful!
Thank you for this video explaining about this injury.Not many people actually know what is tibial plateau fracture is unless they suffer it.Mine is Schatzker type 2 and 7th month PO.
Can you bend your knees to full range of motion? Can I ask what are the exercises you did to regain your range of motion back. Thank you very much!
@@novadash8471I had Schatzker 5 and can only bend till 110 degrees and also have a foot drop
Hello, Dr. Geier. Thank you very much for this video explaining not only the actual TP fracture but also some potential outcomes in the future. 2 weeks ago, I injured myself with TP fracture and grade 1 MCL sprain on my left knee from skiing. I was not doing anything crazy, but the visibility was bad from snowing (at Mammoth, CA) and in rather heavy wet snow, I hit a crud and got myself ejected out from both skis. As I heard the pop with an immediate pain, I thought I dislocated my knee first. A long story short, I have never injured myself from skiing this bad even with years of alpine ski racing background. Now, I'm hoping to recover correctly and looking forward to the next ski seasons. Meanwhile, I am still in pain and can only dream of skiing,,,,,
26 year old M broke my Tibia Plateau 5/20/2023 after immediate surgery i got a ORIF for about a week then another surgery for 2 plates and over 20 screws. on 5/28/2023. currently still healing but this is honestly crazy how much of a life changing injury this is.
It is a difficult injury, as you are unfortunately finding out. Good luck in your recovery!
Hey Samuel I’m 25 years old and same thing happened to me hopefully we can stay in contact through out each other’s recovery I’m still non weight bearing at this point and experiencing numbness and heaviness in the the leg . It’s just torture. I pray to God for a good recovery with us both .
🙏🏽
@@DrDavidGeierhey dr I am 2 months post since my tibial plate surgery and broken ankle I have plate and screws I’m experiencing numbness, tightness and pain around the leg I use crutches I’m able to feel all it especially when trying to walk backwards. Would these symptoms be considered normal around this time I’m not sure if 2 months is still considered fresh .
@@DezziK-fe6hb it gets easier but coming to terms with the new reality is really difficult. Im wishing you to get well too and stay in touch. Im about 5-6 months post op and i still get tightness in my leg and knee and some numbess on the outside of my calf.
Being only 2 months post op you are definitely still fresh. I am still fresh.
I use to only use my wheelchair and then after 2-3 months would use my walker to hop around. But i was 12 weeks non weight bearing.
You got this. Looking at different hobbies or just careers is probably advised if you worked labor. Or intense labor. :/
Geeat video. I’m 5 months post-surgery tibial fracture. Two plates and 11 screws. I was hit by a pick up truck while walking in a crosswalk. I don’t feel pain but do feel numbness and feel the plate on the side of my knee. I’m back to walking a few miles at the local park and back to working out at the gym. My surgeon is pleased with my progress. I went to physical therapy for 3 months and finished last week. When I was non weight bearing for two months, I admit I was worried if I’d ever walk again. My limping has really diminished as well. I’m feeling like myself again. Best wishes to everyone dealing with this type of injury.
Thanks for sharing your experience!
I sustained a tibial plateau fracture in September 2022 after falling from a Wheelie Bin . It was corrected in surgery and I couldn’t weight bare for 10 weeks . Nearly 18 months down the track my knee joint is fine , I have no pain in it but the stiffness and numbness in my leg drives me insane . I do my physio exercises , plus yoga every day and walk short distances . My walking is still quite unsteady and I feel quite unbalanced. This injury has changed my life
I don’t ever think I’ll play any sport again . Confidence is also a big thing and. I feel very vulnerable walking in open spaces . Just curious if anyone else has gait problems and stiffness issues .
I had a type 4 tpf 3 1/2 years ago. still deal with it every day. but for the most part I am able to carry on just fine. great video and explanation.
Hi Dave , when you say you deal with it every day just wondering in what ways ? I’m 18 months into my TPF recovery and am doing the same 😞
@Jill-zv4hq mostly stiffness after sitting for a while. no problem walking or running short distance. but I'm reminded of my limitations, everyday, ( kneeling, playing with my kids in the yard, sports, ect). But otherwise, I have no problems with work or daily routine.
Hi- thank you for all the info! I came across your video in my research.
I am 22 years old and I've been recovering from a tibial plateau facture from a ski fall in March. After 8 weeks non-weight bearing no surgery and months of PT I've been doing a little better but not 100% back to myself before my injury. I still have a lot of pain in my knee when I walk too much or do any activities besides some light walking (Yoga, running, jumping, etc.)
I've been bummed to have to miss out on this ski season. But I know I would just damage my knee more. I am seeing my ortho next week. Hoping to get some answers on the pain and why I haven't been improving.
I am discouraged but hopeful.
I suffered a TPF (type 6) on March 1 after a relatively minor bike accident on March 1. It was excruciating (and I’ve had 3 children without pain meds!)
What I didn’t know is the risk of an embolism after a leg break and that is what I had the night of my accident.
I spent 18 days in the hospital (in Germany) but was PWB from day one PO. 20 kilos as tolerated up to week 6 and then adding 15 kilos per week until FWB. It helped so much with sweeping and numbness and in general am doing well at 9 weeks PO. Also had a hinged brace at 30 degrees for 2 weeks, 60 degrees for 2, 90 for 2 and then fully open. I’m wondering why some doctors, especially in the US recommend NWB for so long? Those patients seem to struggle mentally and then physically for so much longer.
If you are able, join Dr. Geier here on his monthly Ask Dr. Geier Live! show at Noon ET on May 31. He would be happy to discuss this. Also, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
Thanks for this video - it was really interesting.
I was assaulted last month with someone wrapping their leg round the front of my knee and crushing very hard - which left me with a non displaced, depressed, tibial plateau fracture.
The UK hospital team were very good but I was very distressed with how it had happened with an assault.
Initially from X-rays it was thought I needed urgent surgery but CT showed it had started to heal well already.
To mention, straight after the injury occurred I saw a doctor in the local practice and although it was very very swollen, it was not immediately sore in any area so did not appear to be a fracture.
Life lesson is keep healthy, exercise, lots of Vitamin D and no smoking - apparently that’s what has helped my fracture to stater to heal well 😃
I’m so sorry this happened to you!
Do had I druj injury still feel a little pain in my wrist, But I also lift heavy in the gym my docter says it is good that i stay active and that there is nothing to see on the scan that is really bad. Do you have experience with this injury and things in the future?
I broke my TBP in July 2023 it has been such a struggle. I have 3 plates and 18 screws in my leg. It’s been 10 months I got pretty good range of motion but going up and down steps is still very hard and now one has been talking about the muscle spasm and nerve damage.
i need your help sir
Hello Dr.
I'm thankful for this video.
It's my 7th week and now I have started to bend my knee..
I was hoping that I could walk after 6 weeks but you know..😅😅
There are many factors that influence when someone can put weight on the leg after a tibial plateau fracture. Good luck!
About 14 years ago I would say I was playing in a volleyball tournament at work. I took a really good swan dive, but just put it that way as I was going for the ball and as I did that I injured my knee pretty good and hard however, thankfully no surgery but it was still tibial plateau fracture, howeverI do have a lot of times with the weather and I’m on it a lot, but it seems like anymore. It does tend to hurt a bit more.
Hello @DrDavidGeier. Thank you for your great content. I'm 17 years removed from a tibial plateau fracture and have a plate and some screws holding everything together. My knee felt great up until about three years ago when I overdid it with running and other sports. I've tried PRP but that does not see to help me. I'm in my 40s and I exercise daily. What options, surgical or non, do I have at this point to get me back to pain free? My goal is to be able to play at least one competitive sport, Pickleball ideally, from here on out. Thank you!
It would depend on the cause of the symptoms. Generally, osteoarthritis is most common after a tibial plateau fracture.
@@DrDavidGeier I will confirm with my ortho but I believe it is osteoarthritis at this point. Should I be considering a knee replacement at age 43? Thank you for your respone!
I have lateral and medial fractures (and lateral maleol fracture), and the doctor who made the operation didnt explained me anything. Just sait that will put plates, do exercise and dont put weight on it... it's all what he said. So when i get all note about surdgery then i was studying by meself what kind of fractures i have and there was written dont put full weight for 4 months. So i went to other doctor to check how is healing and now after 2,5 months i am in rehabilitation. It's very hard when you dont know whats going on.
I’m cleared for weight bearing and I can’t put weight on my leg 3 weeks after cast removal. Didn’t have surgery. I can’t get past 50%, this is so frightening
i couldnt imagine not having surgery for a injury like this... the injury is insane
I sustained my tibia plateau fracture when a tube driver locked the door on my knee whilst I was getting off - from my x-Ray I see a plate and 6 screws
I found with my surgery that the hospital will NOT explain what procedures are required and that “tomorrow morning “ your going downstairs to be pulled out to length and you’ll wake up with a bunch of metal on the outside of your leg.
Weirdly enough there are levels to this surgery that should be explained to the patient prior to the “day after “.
week 8 im only allowed 60 percent weight on my knee ,im tired of laying around or using crutches all day i have plates on both sides and about 9 or 11 screws ,my xray shows its healed ,but i cant even take a step yet ,and where did my quad muscle go?lol
I have got a non dislocated severe schatzker 2 fracture. Is it the same thing you are explaining? Because my doc said the same thing. It's almost 4weeks now. How long does it takes to walk again? Currently I can only bend my knee like 20%
I’m sorry, but Dr. Geier can’t legally answer medical questions and offer specific medical advice online. Join Dr. Geier on his monthly Ask Dr. Geier Live! Show, December 15, when he'll be live on TH-cam at 12 PM ET - and bring your questions! Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
On week number 5 right now. Non surgerical but two fractures. Guess im healing good at this point. Im tentively back to weight bearing as i can handle on Nov 6th. Right now i can bend my knee completely but i cant straighten my leg all the way out
Thanks for sharing your experience!
I have non displayed tibia plateau fracture full hinged cast it doesn't hurt to weight bare so is it ok to put weight on it ?
I’m sorry, but Dr. Geier can’t legally answer medical questions and offer specific medical advice online. Join Dr. Geier on his monthly Ask Dr. Geier Live! Show, December 15, when he'll be live on TH-cam at 12 PM ET - and bring your questions! Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
I have qr patella fracture and r tibla plateau facture 12 week bed bound my left leg was not good now my knee is stook at 30 swollen cut nerve numb knee and thigh iv only been told walk lightly on it leg keeps giving away and pain what excise cud i do cant walk can bend knee plz
I’m sorry, but Dr. Geier can’t legally answer medical questions and offer specific medical advice online. Join Dr. Geier on his monthly Ask Dr. Geier Live! Show, April 26, when he'll be live on TH-cam at 12 PM ET - and bring your questions! Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
Two years ago, I was run over at the dog park by 2 big dogs. They literally shoulder slammed the side of my knee. I ended up having a plate put in, as my fracture had started to travel. Once inside, my surgeon had to drain a lot of blood out. I also had a complex tear of the meniscus. I went through 7 mths. of P.T. Today, I work out at the gym 5 days a week. My knee is quite strong, but I do have arthritis. I am considering getting a steroid injection and then the gel injected. The pain and swelling get pretty bothersome. Btw- I was 63 at the time of the injury. I don't know my T score yet.
That's a brutal way to get hurt. Hopefully you get back to 100 percent soon.
Is it cure able
If you are able, join Dr. Geier here on his monthly Ask Dr. Geier Live! show at Noon ET on March 8. He would be happy to discuss this. Also, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
What are the symptoms of a fracture on top of tibula
If you are able, join Dr. Geier here on his monthly Ask Dr. Geier Live! show at Noon ET on May 31. He would be happy to discuss this. Also, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
Sir this fracture heal without surgery non diaplace fracture
I’m sorry, but Dr. Geier can’t legally answer medical questions and offer specific medical advice online. Join Dr. Geier on his monthly Ask Dr. Geier Live! Show, April 26, when he'll be live on TH-cam at 12 PM ET - and bring your questions! Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
I just got hit by a truck, while on my Electric-Scooter …….
Yikes! Hope you're ok