Executive Editor: Ernst Raaymakers, Joseph Schatzker, Rick Buckley

Authors: Matthias Hansen, Rodrigo Pesantez

Proximal tibia 41-C3 Nonoperative treatment

back to skeleton

Glossary

1 No immobilization, non-weight bearing and early motion top

Indication

Undisplaced fracture which is perfectly stable.


Nonoperative treatment is indicated if the fracture is undisplaced or minimally displaced and the joint is absolutely stable and there are no other indications for surgery (eg., neurovascular injury, compartment syndrome).

A careful knee exam with valgus/varus stress test done in both full extension and 30° of flection must be peformed. If there is any question about medial/lateral instability, or anterior/posterior stability, or rotatory instability, then further investigations such as MRI should be obtained.

Never immobilize in plaster. If splinting is necessary, then immobilize in a hinged fracture brace.

Start early active range of motion as soon as possible.

2 Posterior plaster splint top

Indication

Only as a means of temporary splinting.

 

3 Non-hinged fracture brace (Zimmer knee brace) top

Non-hinged fracture brace (Zimmer knee brace) enlarge

Indication

All fractures as a means of temporary splinting.

4 Hinged fracture brace top

Indication

Angular splinting of the extremity allowing early knee motion.

As a means of definitive splinting allowing early motion.


Hinged fracture brace enlarge

Fracture brace

Never immobilize in plaster. If protection is required to prevent displacement, use a hinged fracture brace to permit early motion.

Axial splinting allowing knee motion.


Hinged fracture brace enlarge

v2.0 2010-05-15