INTRODUCTION​

• A tibial plateau fracture is a break in the shinbone portion of the knee joint

• The classification system for tibial plateau fractures is called the Schatzker classification. It is descriptive and depends on the location of the fracture lines on the shinbone

• These fractures are often associated with meniscus tears

• Bimodal distribution meaning these fractures occur in younger males in their 40s and older females in their 70s

CAUSES 

• Tibial plateau fractures usually are traumatic and usually occur due to falls or twisting injuries

• Varus or valgus force on the knees are often implicated

SIGNS AND SYMPTOMS

• Tibial plateau fractures are associated with immediate pain and swelling

• Inability to weight bear on the knee is common

TREATMENT​​

• Tibial plateau fracture treatment depends on fracture type and displacement (separation of the fracture pieces)

• Tibial plateau fractures without significant separation of the fracture pieces can sometimes be managed without surgery

• Non-surgical management consists of either cast or knee brace locked in extension with protected weight bearing. This is followed by progressive bending of the knee under physical therapy guidance

• Tibial plateau fractures with significant separation of the fracture pieces and that affect your ability to bear weight are usually managed without surgery

• Surgery consists of repair of the fracture usually with a plate and screws, but sometimes with just screw fixation, depending on fracture type