Strategies For Treating A Tibial Plateau Fracture

Medication For Pain

Analgesics are considered as the primary medication in treating pain from a tibial plateau fracture. These medications refer to opioids, paracetamol, and nonsteroidal anti-inflammatory drugs (NSAIDs).

The usage of analgesics is controversial as some researchers believe they may delay bone healing. Though NSAIDs can reduce inflammation, they can also interfere with intramembranous ossification, which is necessary for bone formation. As of now, there is little data regarding this theory. In addition, it is said taking opioids could even increase the risk for developing fractures. As it is not known how opioids are linked to increased risk for fractures, research is ongoing.

Furthermore, side effects may occur with taking these medications. Patients should, of course, always stay with the dosage their doctor recommend and if they experience any side effects, inform the doctor immediately.

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Physical Rehabilitation

Physical rehabilitation includes methods such as early range of motion, which involves moving the knee around to assess its full ability to advance in whatever direction without difficulty. This treatment can be done alone or with a physical therapist.

The physical therapy routine should consist of as much stretching as possible. Patients can discuss specific techniques and exercises with their physical therapist. As part of physical therapy, however, patients must allow the affected tibial plateau time to heal on its own. This means patients have to keep a brace around the injury, preferably for at least six weeks. Plus, patients will have to use a wheelchair or crutches to get around. Non-weight bearing activities will also be instrumental during this period, as they require no pressure on the affected area.

Depending on the severity of the injury, healing could take a little bit longer than expected so individuals should be patient. The leg should be able to advance at a flexion angle of ninety degrees by the end of the six-week course.

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