Displaced Tibial Plateau Fracture

A displaced tibial plateau fracture is a serious injury affecting the knee joint, often requiring surgical treatment for proper healing. Whether caused by high-impact trauma or a fall, this type of fracture can lead to long-term complications if not treated appropriately.

If you’re dealing with a tibial plateau fracture and need expert care, Benjamin W. Szerlip, DO, a fellowship-trained shoulder and sports medicine surgeon in Austin, Texas, specializes in advanced treatments to restore knee function and mobility. Contact his office today to discuss your treatment options!

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“Dr. Szerlip was very personable, knowledgeable, and took time for all my questions. He gave great explanations of my problem and potential solutions. I have full confidence in his recommendations for treatment and therapy.” — Pam G.

What is a Tibial Plateau Fracture?

The tibial plateau is the upper part of the shin bone (tibia) that helps form the knee joint. It supports the weight of the body and provides stability during movement. A plateau fracture occurs when this area breaks, potentially damaging the articular surface, which is essential for smooth knee function.

Tibial plateau fractures vary in severity, with some requiring minimal intervention and others needing surgical treatment to restore proper function. Early diagnosis and appropriate tibial plateau fracture care are crucial to prevent long-term complications.

Types of Tibial Plateau Fractures

The Schatzker classification is a widely used system for categorizing tibial plateau fractures based on their severity and fracture pattern. This system helps guide treatment decisions and predict potential complications. The classification consists of the following 6 types:

Type I – Lateral Split Fracture

A wedge-shaped fracture of the lateral tibial plateau.
Common in younger patients with strong bone.
Often treated non-surgically unless displaced.

Type II – Lateral Split-Depression Fracture

A combination of a displaced fracture and a depression of the articular surface.
More common in older patients due to weaker bone structure.
Typically requires surgical treatment to restore proper joint surface alignment.

Type III – Pure Depression Fracture

The articular surface is compressed without a clear fracture line.
Usually results from axial loading, such as falling directly on the knee.
Internal fixation or bone grafting may be necessary if the depression is severe.

Type IV – Medial Plateau Fracture

A fracture of the medial tibial plateau, which bears more weight than the lateral side.
Frequently associated with soft tissue injuries and improper limb alignment.
Often requires internal fixation due to instability

Type V – Bicondylar Tibial Plateau Fractures

Fractures involving both the medial and lateral tibial plateau.
Associated with high-energy trauma, such as car accidents.
Requires surgical treatment, including plates, screws, or external fixation.

Type VI – Complex Fracture with Metaphyseal Extension

A severe fracture extending into the shin bone (tibial diaphysis).
Often accompanied by ligament injuries and severe instability.
Requires advanced tibial plateau fracture care, often with multiple surgical procedures.

Understanding the Schatzker classification helps orthopedic surgeons like Dr. Benjamin W. Szerlip determine the best treatment approach for each patient. Whether you have a non-displaced tibial plateau fracture or a complex displaced tibial plateau fracture, expert care is essential for a full recovery.

What Causes a Tibial Plateau Fracture?

Several factors can contribute to a tibial plateau fracture, including:

High-impact trauma: Car accidents, falls from height, or sports injuries can lead to severe fractures.
Weakened bone: Cancer or infections can weaken the bone, making it more susceptible to fracture.
Osteoporosis: Weak bones increase the risk of fractures, even from minor falls.

How Do You Treat a Tibial Plateau Fracture?

Treatment for a tibial plateau fracture depends on the type of fracture and the patient’s needs.

Non-Surgical Treatment

For non-displaced tibial plateau fractures, the primary approach includes:

Immobilization with a knee brace or hinged knee brace to stabilize the joint.
Limited weight-bearing with crutches to allow healing.
Physical therapy rehabilitation exercises to maintain mobility and prevent stiffness.

Surgical Treatment for Displaced Tibial Plateau Fractures

A displaced tibial plateau fracture often requires surgery to restore the joint surface and bone fragments to their proper position. Internal fixation is a common procedure that involves using plates and screws to stabilize the tibia. A hinged knee brace combined with physical therapy helps protect the knee during recovery.

Dr. Szerlip specializes in advanced surgical treatment for complex knee fractures, ensuring optimal healing and restoring knee function.

Recovery After a Tibial Plateau Fracture

The recovery process varies based on the severity of the fracture and the treatment method. Key aspects of recovery include:

Immobilization: A hinged knee brace supports the knee and allows controlled movement.
Gradual weight-bearing: Patients typically begin putting weight on the leg after 3 months, depending on healing progress.
Physical therapy: Physical therapy rehabilitation exercises help rebuild strength, improve mobility, and prevent stiffness

Dr. Szerlip provides personalized recovery plans to help patients regain full knee function. His expertise in knee injuries ensures the best possible outcome for every patient.

Get Expert Care for Your Tibial Plateau Fracture

If you’re dealing with a displaced tibial plateau fracture or any other knee injury, expert care is essential for a full recovery. Benjamin W. Szerlip, DO, a fellowship-trained shoulder and sports medicine surgeon, offers cutting-edge treatments to restore knee health and function in Austin, TX. Schedule a consultation today to discuss the best approach for your recovery!

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