Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
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Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Fracture of the Tibial Plateau
What is a fracture of the tibial plateau?
The tibia, or shin bone, forms the lower part of the knee joint. The tibial plateau is the flat, upper surface of the tibia that supports the weight of the body through the knee. A tibial plateau fracture occurs when this surface is cracked or broken, often affecting the stability and function of the knee. Physiotherapy plays an important role in treatment, helping to restore movement, strength, and joint function after injury.
How does a fracture of the tibial plateau occur?
Tibial plateau fractures often result from high-impact trauma. This can include a direct blow to the knee, such as during a car accident or sports collision, or a compressive force transmitted through the knee, such as from a fall onto a bent knee. These injuries can also occur when the knee twists or bends awkwardly, placing excessive stress on the top of the shin bone.
What are the symptoms of a tibial plateau fracture?
A tibial plateau fracture usually causes immediate, intense pain in the knee joint. The pain is often worsened by movement, and you may be unable to bear weight on the injured leg. The knee typically swells quickly after the injury. Other common symptoms include:
- Stiffness in the knee
- Weakness in surrounding muscles
- Reduced range of motion
- Difficulty walking or changes in gait
What should I do if I have a fracture of the tibial plateau?
A tibial plateau fracture is a serious injury. If you suspect this fracture, seek immediate medical attention at your nearest accident and emergency department. Initial management usually involves immobilising the knee using a brace or bandages to prevent further injury.
What shouldn’t I do if I have a tibial plateau fracture?
Do not attempt to walk, run, or perform any activities that place stress on the injured leg until you have been assessed by medical professionals. Excessive movement can worsen the fracture and delay healing.
Medical management of a tibial plateau fracture
Diagnosis typically involves an X-ray or other imaging to assess the extent of the fracture. Treatment depends on the severity of the injury and may include:
- Immobilisation using a knee brace or splint
- Crutches to avoid weight-bearing
- Surgery, in cases where the bone fragments need to be held together with screws or plates
Following initial medical treatment, physiotherapy is essential to restore knee strength, mobility, and function, whether the fracture was managed surgically or conservatively.
Physiotherapy for a fracture of the tibial plateau
Before beginning physiotherapy, it is important to inform your consultant, as the timing of treatment depends on the healing stage of your fracture. In some cases, physiotherapy may begin immediately, but most often it starts once the fracture has healed sufficiently.
At your initial assessment, your physiotherapist will develop a personalised treatment programme to help restore strength, mobility, and function, and to accelerate your recovery. Treatment may include:
- Exercise programmes – to regain knee strength and flexibility
- Fracture-focused rehabilitation – guided exercises that support healing
- Balance exercises – to restore stability and prevent falls
- Electrotherapy – to reduce pain and support tissue healing
Could there be any long-term effects from a fracture of the tibial plateau?
Most tibial plateau fractures heal within six to ten weeks. However, depending on the severity and extent of the injury, there may be long-term effects. Other structures around the knee, such as cartilage and ligaments, can also be damaged during the fracture, which may delay recovery. Damage to the cartilage increases the risk of developing knee arthritis in the future. Proper physiotherapy and rehabilitation are essential to minimise long-term complications and restore optimal knee function.
To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.
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