This is a temporary way of holding the leg and bones in a better position (lines them up) and allows the swelling to go down until it is safe to fix your bone with plates and screws. An external fixator is a device made up of pins that are put in your femur (thigh bone) and tibia (leg bone) and bars that connect the pins together. Sometimes the break is so bad you need to be taken to the operating room to have an external fixator put on. Either way you will not be able to walk or put weight on the leg. Often, you will be put into a brace or a splint. Depending on how bad the break is, you may be able to go home or you may be admitted to the hospital. In the emergency room you will get x-rays as well as a CT scan. You will likely need to go to an emergency room because of the pain. Initial TreatmentĪfter you break your tibial plateau it will be very painful, and you will most likely not be able to walk on it. The knee in on the right is very swollen after suffering a break in the bone after a fall. Evidence-Based Medicine Resource List Overviewįigure 4: Photograph showing the swelling and bruising that is seen after a tibial plateau fracture.Video Library: Annual Meeting & Conferences.Sponsorship Right of First Refusal Guidelines.Exhibits & Marketing Partnerships Overview.
#Occult tibial plateau fracture archive#
Corporate & Foundation Donor Archive Overview.Lifetime & Planned Giving Donors Overview.OTA Orthopaedic Trauma References & Resources.Disaster Management and Emergency Preparedness Overview.Disaster Management and Emergency Preparedness.The Issue of the Surprise-Billing Rules in Plain English.Research Survey Policy and Instructions.CNTR Early-Stage Investigator Travel Award Application.OTA Support of Federal Grant Applications.Research Volunteer Mentoring Program Overview.IOTA Special Issue: Orthopaedic Trauma Care: Global Approaches During a Pandemic.OTA SOMOS Military Traveling Fellowship Program.Fellow and Young Practitioner Resources.An occult fracture of the posterior lateral tibial plateau with or without an associated fracture in the lateral femoral condyle ("kissing contusion") is a relatively frequent finding in acute ACL tears and, when present, is highly suggestive of such an associated tear. This allows impaction of the posterior portion of the lateral tibial plateau against the middle of the lateral femoral condyle and accounts for the unique pattern of occult fractures associated with ACL tears. Disruption of the ACL under valgus stress leads to anterior translation of the tibia and relative external rotation of the femur. Of these, occult fractures were isolated in 24 cases (43%) and were in combination with fractures in the middle aspect of the lateral femoral condyle in 26 (46%), with fractures in the posterior aspect of the medial tibial plateau in four (7%), and with fractures involving all three areas in one (2%). All occult fractures were in the posterior aspect of the lateral tibial plateau. Eighty-nine occult fractures were identified in 56 knees. One hundred consecutive magnetic resonance (MR) images of the knee in patients with acute complete anterior cruciate ligament (ACL) tears were reviewed to evaluate the prevalence and patterns of associated occult fractures.
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