The knee straightening should be easy at this point because most patients are locked out in full knee extension knee brace for the first 6 weeks.Typically we like to gain 10 degrees of knee bend each week until full range of motion is achieved. The physical therapist also spends a lot of time ranging the knee to make sure it bends and straightens appropriately for the stage of healing.Patient perform a lot of isometric (no joint movement, just muscle contraction) exercises during this time.The first stage of physical therapy for tibial plateau fracture is spent doing exercises in sitting or laying down positions to limit load on the healing knee joint. With that said, at Motion Physical Therapy we have had athletes return to their sport and normal everyday people return to squatting, lunging, and climbing ladders with no complications after a successful rehab. It usually takes up to a year for a patient to return to their prior level of movement. Recovery is long and painful for tibial plateau fractures that required surgery. It usually takes 6-12 weeks for the bones to heal and for the structure of the knee to be stable enough to start putting weight through the leg. The pins and plates hold the broken knee bones in place while the knees heals. The surgeon has to put the bottom-half of the knee back together using pins and plates. In a tibial plateau fracture the bottom half of the knee joint (tibia) breaks/shatters due to blunt force trauma common in high speed falls (skiing/snowboarding) and car accidents. Tibial Plateau fractures are some of the worst knee injuries we see in physical therapy. COMPLETE 12 WEEK PHYSICAL THERAPY REHAB PROGRAM WITH PT EXERCISE AND STRETCHING VIDEOS. If you did not have surgery for your tibial plateau fracture, you can start walking safely with a knee brace in 4-6 weeks. If you had surgery for your tibial plateau fracture, you can put a little bit of weight on the leg after 6 weeks with the goal of walking normally by the 10th week. How long after a tibial plateau fracture can you walk? After 6 weeks, you can start doing partial squats and walking training exercises. You can do this by doing exercises like straight leg raises on you back and quadriceps activation in sitting or laying down. How do I strengthen my knee after tibial plateau fracture?įor the first 6 weeks you will do all exercises in non-weight bearing (no weight on your leg). Once the incision is fully healed (10-14 days) you can go past 90 degrees of knee bend. If you had surgery then you can start bending the knee to 90 degrees 1 week after surgery. Yes, bending the knee can start immediately after tibial plateau fracture if you did not have surgery. Can I bend my knee after tibial plateau fracture?
If bones didn’t shift then no surgery is needed, just rest and limited walking. Yes, surgery is required for a tibial plateau fracture if the bones shifted and needs to be put back in place with pins and plates so the knee can heal correctly. Is surgery required for a tibial plateau fracture? If the fractured bones shifted after the break and surgery was required to put the bones together with pins and plates, then it can take up to 6 months to walk normal and 12 months to return to playing sports like before the injury. How long does it take for a tibial plateau fracture to heal without surgery?Ħ-12 weeks with rest if the tibial plateau bone didn’t shift after the break or if the fracture is just a hair line fracture. It will depend on the trauma involved and how badly you broke it. The tibial plateau fracture could be a mild hair line fracture which is not serious or it can be severe and serious where you need pins and plates to put it back into place. How serious is a tibial plateau fracture? A hairline tibial plateau fracture will heal even if you put weight on it but a displaced (where the broken bone has moved) tibial plateau fracture will need surgery and rest to heal properly. The worse the fracture the more pain you will have and less weight you can put on the leg. The size of the tibial plateau fracture can be hairline or it can be complicated with at multiple broken pieces of bone which have shifted. Yes you may be able to walk with a tibial plateau fracture, but it is not recommended. FAQs for Tibial Plateau Fracture Recovery: Can you walk on a fractured tibial plateau?
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