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additionally, the soft tissue is examined to ascertain the presence of additional injuries. if a disruption of the meniscus occurs as well as a disruption of the lateral collateral ligament, this should be addressed as well. a fracture of the lateral tibial plateau can be associated with an injury of the lateral collateral ligament of the knee or the common peroneal nerve. if these are present, the patient should undergo a nerve conduction study to determine if the nerve is damaged. similarly, a patient with a tibial plateau fracture should undergo a radiograph to determine if any signs of impending compartment syndrome exist. if the soft tissues are intact and there is no evidence of compartment syndrome, a splint can be applied to the limb to provide stabilization for the next two to three weeks until the fractures have healed.
apart from the closed reduction and immobilization of the knee, patients with tibial plateau fractures should undergo a physical examination to determine if any knee instability exists. if any instability is present, a manipulation of the knee can be performed to determine if a manipulation of the knee is necessary. if a manipulation is necessary, the patient should be placed in a knee immobilizer and allowed to rest for the next two to three weeks until the fracture has healed.
if any instability exists, a manipulation can be performed to determine if a manipulation is necessary. if a manipulation is necessary, the patient should be placed in a knee immobilizer and allowed to rest for the next two to three weeks until the fracture has healed. an open reduction and internal fixation of the tibial plateau can be performed if the fracture is unstable. the patient should be placed in a knee immobilizer and allowed to rest for the next two to three weeks until the fracture has healed.
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