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Author Topic: Tibial Plateau Fracture in Thailand  (Read 3031 times)

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Offline [email protected]

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Tibial Plateau Fracture in Thailand
« on: September 29, 2002, 05:01:20 AM »
I fractured my right tibial plateau 6 weeks ago to the minute in a motorcycle accident in Chiang Mai, Thailand, where I live.

24 hours later I had surgery which added a plate and some screws to my knee.  I was braced at 0 degrees for 4 weeks.

Physical therapy started at 4 weeks.  Range of motion was at 50 degrees and stopped dramatically at 70 degrees.

Two days ago, I talked with a leading surgeon here about the lack of progress.  He is a professor of surgery of the knee and a specialist in bio-mechanics of the knee.  He said that the original surgery was botched and that it should be redone soon or I will never regain additional range of motion.  He wants to replace the plate and screws.

From reading other posts here, I realize my knee will never be the same (I am 32), but I do want to be able to ride a bike and walk without a gait if possible.

I am seeking opinions.   I am trying to get an orthopedic consult from another surgeon to confirm the need for the second surgery.  I would like to do this by posting the x-rays on the web and having a surgeon review the pre and post operative images.  Any suggestions, referrals to surgeons who will take a chance, etc. are deeply appreciated.

Regards,

John Douglas
[email protected]
« Last Edit: April 09, 2004, 02:47:38 PM by admin »

Offline jens

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Re: Help! Tibia Plateau Fracture in Thailand
« Reply #1 on: November 27, 2002, 09:24:13 PM »
It sounds like your injury was maybe more severe than mine, but I had surgery for a tibia plateau fracture 7 months ago, and both the surgeon & the PT said the injury shouldn't affect my use of the knee at all. The surgeon seems to have done a great job, and at 7 months out, I can pretty much do everything I could before, even though I sometimes have pain (but even that is generally more like discomfort than serious pain).

All of which is a long way of saying - don't necessarily assume that your knee will never be the same again. You may be able with proper surgery (and physical therapy!) to regain a lot more mobility than you have now. If you can't get more than 70 deg ROM, I would definitely look into having the surgery re-done; personally I had more than that within a couple of weeks of the surgery (I was never in a brace or cast & used a continuous passive motion machine to help ROM starting the day after surgery).
Tibia plateau fracture & surgery - plus torn meniscus & damaged cartilage - 4/02 (auto accident - pedestrian vs. vehicle)

Offline dhtpa1

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Re: Help! Tibia Plateau Fracture in Philadelphia
« Reply #2 on: December 20, 2002, 07:37:20 AM »
My mom recently fell off the kitchen sink and suffered a tibial plateau fracture.   :'(.  She has been in an immobilizer for the last 8 weeks, needed to come live with me and my family because of no weight bearing.  We just found out today that she needs no weight bearing for another minimum 6 weeks since it is not healing quickly.  Just wanted some info on other experiences from other patients, timelines/methods of getting around, etc.  We are extremely depressed at this point and need to hear other stores.  Is this normal timing, does it sound like a good Dr. etc.

Offline dhtpa1

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Re: Help! Tibia Plateau Fracture in Philadelphia
« Reply #3 on: December 20, 2002, 07:37:38 AM »
My mom recently fell off the kitchen sink and suffered a tibial plateau fracture.   :'(.  She has been in an immobilizer for the last 8 weeks, needed to come live with me and my family because of no weight bearing.  We just found out today that she needs no weight bearing for another minimum 6 weeks since it is not healing quickly.  Just wanted some info on other experiences from other patients, timelines/methods of getting around, etc.  We are extremely depressed at this point and need to hear other stores.  Is this normal timing, does it sound like a good Dr. etc.















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