When is surgery indicated for tibial plateau fractures?

Updated: Jul 05, 2018
  • Author: Srinivasa Vidyadhara, MBBS, DNB, MS(Orth), DNB(Orth), FNB(SpineSurg), MNAMS; Chief Editor: Thomas M DeBerardino, MD  more...
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Answer

Fracture displacement ranging from 4-10 mm can be treated nonoperatively; however, a depressed fragment greater than 5 mm should be elevated and grafted. [14]

The following are absolute indications for surgery:

  • Open plateau fractures
  • Fractures with an associated compartment syndrome
  • Fractures associated with a vascular injury

The following are relative indications for surgery:

  • Most displaced bicondylar fractures
  • Displaced medial condylar fractures
  • Lateral plateau fractures that result in joint instability

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