Recovery


A Tibial Plateau fracture is really not much fun, but it helps if you are prepared and in many cases doctors will not prepare you properly for daily life after your injury. If I had to give you only one piece of Advice on Tibial Plateau eracture recovery it would be: be patient. And in the end, it’s not as bad as it looks.

Below is a more elaborate list of time-tested knowledge and information on different subjects related to your Tibial Plateau fracture. There are also separate sections for the different stages of recovery (from the menu above choose “1-8 weeks” etc.)

*Note: this website is not intended to provide medical advice. Your doctor is a much better source for medical advice.  This information is based on firsh-hand personal experience and research*

What to expect – overview

You will be leaving the hospital on crutches, usually with a hinged brace. For the first few weeks you will experience quite a few different uncomfortable symptoms but these all pass quickly. Natural symptoms include limited range of motion in your leg (in the knee and ankle joints) as well as pain, heat flashes, edema and stiffness Some of these will be caused by the fact that you are not completely mobile. Things will progress from here until in the end you are (in most cases) completely able to do your everyday activities, but it will take some time and hard work.

Time to recovery

Recovery from a Tibial Plateau fracture is different from person to person. It depends very much on the exact type and specifics of injury, your age, prior issues, level of physical activity, physiotherapy, nutrition and many other factors. Given all of these differences it is still quite safe to say that for most people, if you the injury was treated by surgery, you will still be in some kind of recovery for a complete year after your injury¹. In most cases it will be more than that, Improvement showing up to three years after. This sounds like a lot, and it is, but I can assure you that it does get better and that for most people after a few months your the injury will not prevent you from continuing with you daily life and you will be able to do all your daily activities to some extent including walking short distances, going out, meeting with friends, going to work etc.

Weight Bearing

For a period of about 6-8 weeks after the surgery you will be NWB (non-wait-baring), this means that you can not put any pressure on your knee and leg and will need to use a wheelchair, crutches or both. For some injuries it might take up to 12 weeks until allowed FWB(Full weight bearing). Depending on your doctor and your specific health condition you will be moving from NWB to PWB (Partial Weight bearing) or FWBAT (Full weight bearing as tolerated). This period of NWB will cause many mobility concerns and will affect your daily routine.

Mobility

You will be spending a few days in a hospital bed then progressing to a wheel chair and crutches, which you will be using for about 2 months, possibly followed by a single crutch and walking stick (see paragraph above – “weight bearing”). It could be up to 3 months on crutches, and up to 6 still using a walking stick (but usually much less). Also expect that initially you won’t be able to bend your knee much for a few weeks. This is called limited ROM (range-of-motion). Crutches are hard to use at first, and may be painful on the hands and shoulder, but don’t worry you will get used to them very quickly. And as a bonus you will develop very strong arm muscles. In some cases, overuse and pressure on your hands can cause secondary injuries to your wrists, arms or shoulders. If you are in pain from using crutches take it easy and use a wheelchair for a short while. You should also consider testing different types of crutches. Forearm crutches are usually more comfortable (then underarm) and come in ergonomic varieties. Today many advanced crutches also support ergonomic designs, anti-slip, and special features (link, link). Underarm crutches are usually safer then regular forearm crutches (link), but tend to be less comfortable, and don’t come with as many smart designs. Platform crutches might be good for people with a poor grip, but I haven’t tried them myself. Some crutches will also have shock absorbers to help your wrists and arms absorb shock (link).

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All this will require that you prepare for a period of partial mobility. Things you might be limited in doing include – walking up and down stairs, house jobs (cleaning, cooking, washing), carrying things from place to place (no free hands when using crutches), reaching high and low cabinets, showering. At first, you might also have trouble getting dressed and undressed but this will pass quickly. The best way to deal with this is have friends, partners & family help you with everyday chores and prepare the house as much as possible to make things easier. A few things you could do are:

  • Get a shower chair so that you are able to shower without bearing weight (link) and possibly also invest in some big bags or drycast or other cast covers (link) so that you can shower without taking your brace or cast off during the first few weeks.
  • Be very careful when using crutches in a wet surface because you could easily slip. Even more dangerous is if the crutches are wet and the floor is not. Make sure to dry the bottom of your crutches on a towel before leaving the shower.
  • If your crutches are very old and the tips are cracked, replace the tips with new rubber tips. The come very cheaply (link)
  • Use a gripper (link) to be able to reach those unreachable cabinets and to be able to grasp and retrieve items you would not be able to otherwise while on a wheel chair (link).
  • Make sure that someone prepares food and goes shopping for you. Other options include ordering in prepared food and ordering groceries online.
  • If your bed is on the second floor, Consider sleeping in a different room if you find it hard to get up the stairs. You can also climb stairs with crutches, or sitting down.
  • High and low cabinets are are hard to reach. Try moving things around so that they are easier to reach. Doors on low cabinets can also be unhinged to allow for easier access with a wheel chair. They can easily be put back on later.
  • More useful ideas can be found in the “logistics” section and “Tips & Tricks

Physiotherapy

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Physiotherapy is going to be a regular part of your life. The are several goals: increase ROM, increase muscle-mass, teach your musculoskeletal system to operate as before and increase your stability. It is very very important that you start physiotherapy as early as possible and keep at it until you are completely better. This is the one factor that will affect your recovery more then any other and it is completely up to you. I’ve written a complete section on physiotherapy alone. Usually you will be given exercises to perform from your physiotherapist. At the very beginning you will probably not be able to bend or straighten your knee at all. This can be quite frightening but don’t be alarmed. Initially exercises will aim to teach your neurological system to control the leg again. It might even only be hours before you will start to be able to bend your leg, or it could be a few days.  After this, during the NWB (not in all cases) period you will be performing gentle exercises to enhance your ROM, strengthen your muscles and reduce stiffness, sometimes using stretch bands(link). Exercises might be done at home or in a medical center. It is very important that during this stage you follow PT instructions and do the exercises as soon as possible and as much as possible. This will reduce stiffness, boost recovery and give you a better chance at developing good ROM. When you progress to WB, physiotherapy will include many exercises with weights and machinery with the aim of gaining stability and muscle and to exercise everyday activities like walking. I can not emphasize enough how important it is that you keep at it (even if it means you go to work less). To be able to do physiotherapy at home you can consider purchasing light ankle weights(link).  For more info and tips, have a look at the physiotherapy section.

Medical professional

Several medical professionals will be involved in your recovery process, including the radiologists, the OS (“operating surgeon”), Physiotherapist and sometimes others. You will be having regular checkups with them. It is very important that you make sure your OS is a good one, and that you consult with him on every question you have. Be curious and ask everything you want to know. Sometimes doctors will not be generous with information, make sure that you get your answers. You deserve them. Seek extra information in sites like this one (more sites in the further reading section). In many cases the PT and the OS will be discussing your condition either directly or passing notes through you. Make sure that they talk if they are not already talking, but remember that when they give contradicting advice – the opinion of the OS is always the one to go by. You might also want to consider getting a second opinion both before or after your surgery.

Diet

Bone healing requires quite a lot of nutritional help, especially during the first 3 months(This is when the bone is healing), so make sure to eat well, and consider supplementation. For your healing to progress well you need to make sure that you get a lot of Calories, Protein, Antioxidants and minerals. During the first few weeks of healing your body will consume about 2-3(!) times as many calories as normal. This is about 6000 calories per day, so no need to feel bad if you’re eating a lot and very hungry. It’s all going to healing.

Protein is an Important nutritional ingredient. By volume, roughly half of your bone is comprised of protein, and you will also need to get a lot of it to reduce muscle atrophy as much as possible. If you think you are not getting enough protein consider using protein powder to supplement your daily protein intake (link), or adding protein rich food to your diet (meat, eggs, milk products, nuts & seeds).

Minerals are very important for several reasons. By weight bone is about 70% minerals. These are the building blocks of your bones. The high need for minerals will mean you might no be getting enough of them, which can cause other problems. If you are depleted in magnesium for example this may cause muscle cramps which are not much fun during a Tibial Plateau fracture. Consider using a multi-vitamin(link) containing minerals during the recovery process just to be sure. Studies have shown a lower rate of complications in healing in people taking multi-vitamins (link). The most important minerals to consume are Zinc, Copper, Calcium and Silicon.

Vitamins are the catalysts for the process of healing and are also in high need during recovery.  Vitamins that play an important role in bone healing include: Vitamin C, Vitamin K, the Vitamin B-series. Be sure to eat a varied diet and Consider using a multi-vitamin for Vitamins and minerals (link).

Anti-Infalmmatory Nutrients help reduce inflammation and pain. Bone creates a lot of inflammation which causes pain.  Unfortunately it is not advisable to take NSAID (Non Steroidal anti-inflammatory Drugs) during the bone recovery process as these slow recovery. Natural Anti inflammatory agents that may work to reduce pain include Vitmain C, Omega-3 (link) and others.

There are many foods you should avoid. Some foods will interrupt normal absorption of nutrients and their consumption should be limited. Some of these are:

  • Salt or foods prepared with lots of salt
  • More than one cup of coffee or other caffeine beverages. If possible, avoid coffee altogether.
  • Sugar
  • Chocolate (because to caffeine content)
  • Soft drinks and carbonated beverages
  • Alcohol (it inhibits calcium absorption)
  • Caffeine (it increases rate of calcium loss and inhibits absorption)

Pain

Pain is an unpleasant but normal part of recovery. You will be experiencing different types of pain and discomfort throughout your recovery. Pain might be felt in different parts of the leg, and won’t neccesarily concentrate only around the knee. Most pain comes during the first few days and weeks after the surgery. Pain management is an important part of your recovery and you should not be in constant pain. You should use pain medication as advised by your OS or hospital medical staff. If you are unable to use the medication prescribed by your doctor or are more comfortable using a different type of pain medication remember that some types of painkillers should not be taken for long periods of time(read the label!), and that you should never take NSAID as pain-killer while the bone is still healing. These types of medications will postpone healing. Brands included in the NSAID group which you should not use include Aspirin, Motrin, Ibufen, diclofenac, naproxen and others. Don’t use these. Instead use what is recommended by your medical staff or another medication that is not a NSAID. In some case, mostly in the first days you might experience more severe pain that can be treated with stronger drugs. This is normal, but if you experience abnormally strong pain or other abnormal symptoms, get yourself evacuated to a medical center as this is usually nothing but could be a sign of a complication. Make that in the first few weeks you have a bottle or box of painkillers in your pocket so that it’s always handy. Remember – liquid pain medication usually act faster then the tablet equivalent of the same brand.

Staying at home/Mental Health

You might be staying at home a lot and will be quite immobile for a while. This can get affect your mood very much and can at some point get depressing, especially if you are used to being very active. There is no magic pill for this, choose a good book, and a good TV series and try to regularly talk to as many friends, family and close people as possible. The proximity of  friends and close ones is very important. You might also want to find a community of people who have suffered from Tibial Plateau fracture before who share your experiences and feelings. There are several such communities, and some of them they can be in the further reading section of this website. Also, try to do as much exercise as you possibly can. Even if this means exercising while sitting or lying down. This can give real boost to your mood. Another good Idea is to start watching a new TV-show you’ve never had time to watch, or subscribe to online video providers like netflix or amazon prime (link). If in need, consult a psychologist or mental health professional. It is quite normal to be affected by a prolonged period of immobility and recovery, and a psychologist will be able to help with this.

Physical Activity

You will eventually probably be able to do anything you were able to do before your injury. However, this might take a long time (1 or more year for some sports) and you might have to be careful when doing extreme sports. There is a limited amount of things that you may not be able to do exactly as before, for example some yoga postures will not be possible with limited ROM, but you can always work around these limitations by doing things slightly differently. Also, you might experience some pain which will be limiting. If you want to take up a fitness activity shortly after the injury bicycling and swimming are both good options which will also help with recovery. Upper body weight training might also be a good option but will not directly advance your recovery.

Work

You Might be dying to get back to work or could be in need for a vacation. Going back to work is something that very much depends on you and on your specific job and state of mind. Some people go back to work on crutches after 4 weeks (me, for example), while others might wait a whole 6 months.  There is a good side to going back to work (aside from money) since you will be interacting with people all day long and will not be bored. The important thing to remember is that you must avoid overworking and stressing yourself out. When you go to work it is important that you leave enough time and mental energy to be able to do your physiotherapy as much as you need, to rest, to relax and to visit your medical professional. This will allow your body to recover. You might be tempted to sacrifice your physio for your career. Don’t do that. Your career will still be there when you recover, the condition of  your leg is something you will be living with forever.

Sex

There is no physical limitation from having sex as soon as the initial pain has subsided, but this injury can affect your sex life, something which you will not find a lot of information about and your doctor might not tell you. Decreased mobility in one leg and one leg which is half the strength of the other can naturally affect sex. This gets better as your leg heals and strengthens, and you will need to ask your partner to be patient as you progress through the recovery process.

On a good note

Tibial plateau Recovery takes a long time but at the end of the process you are looking at excellent recovery and usually a fully functional life.  Moreover, trying to find the good embedded in the bad, this injury can help you put things in perspective and appreciate all the things you have in life: friends, family, health, a loving spouse. It gives you an opportunity to stop and think about what matters most.

1,521 thoughts on “Recovery

  1. Also barbara mam…..jus if i stand for few mins in kitchn or walk more..i get pain near the ankle as if sprain….is it common….will that pain leave us….or it becomes a daily pain for us…it pains more exactly near the ankle..mine is right leg…and it pains to the right side ie…outer side ankle part…is it common….later will dat sprain go away

  2. Hi barbara mam..
    I went to the doctor ..he was ok wth my recovery.i told him about my doubts dat from the ligament tear my other i used the other leg much for climbing the stairs and all…and also now after the accident..and am having pain in the other than operated leg bcz of much use…but the doc was very cool…he told me to do the same quadriceps physio for the other leg to gain strength….otherwise everythnb was ok…he prescribed glucosamine nd vit D….dats it…

  3. My accident occurred 8/4/16 when I fell from the top of the ladder and crushed my Toni. Surgery did not take place until 8/15/16.i spent 5 days in the hospital and 11 days in rehab. Upon coming home, I have. PT, he is great. I wish I had read this information when I first got hurt. You are correct. I go to the surgeon for my 6 Wk check up Monday 9/26. I have been NWB since surgery. Confined to wheel chair only. I can not wait to return yo work. I am going crazy in this house all day. This has been a long road to recovery.

  4. Hi Anne-Marie: I don’t know what those long words mean but you should know exactly what’s going on with your injury and be satisfied with the treatment you are getting. If you’re not, then get another opinion. Don’t be embarassed to ask.

  5. My injury occurred on 3/5/16 surgery on 3/6/16. 2 plates 6 screws and bone graphs. At the 6 month mark I have found much improvement in both freedom of movement and function. Continue your therapy and try to be patient. I know how frustrating this is.

  6. I am 26 years old boy. I met with an accident while riding bike on 21st August 2016. I was operated with 2 plates and screws on 28th August (late due to swelling in my leg). Now i am working hard with physiotherapist. My knee started bend a little on bed now. 25% swelling left in my leg now.
    Can anyone please help me how much time will it take to walk properly on my feets again as before.
    I really very very frustrated laying on bed.

    • Hello Puneet,
      Very sorry about your accident and injury! I was hit by a car back in December (2015) and sustained a Tibial Plateau Fracture, torn meniscus, torn ACL and torn MCL. I had a plate and 7 screws and bone graft. I was not allowed to put full weight on my injured leg for 12 weeks (March of 2016); however, at the 7 1/2 week point, I began to put 20% weight on the injured leg with the use of my walker or crutches. 20% weight is very little weight. It is when you place your heel down and then come up very lightly on the toes while putting most of your weight and support on your other leg and either your walker or crutches. When I was told that I could put full weight on the leg, it was almost like learning to walk all over again. I didn’t just walk out of the doctor’s office like I was walking before my accident. I needed to use a cane and there was pain involved. By the end of the day, my knee was swollen as was my foot and ankle. I needed to ice everything often. It took a few more months before things got better. I also needed to take an anti-inflammatory at that point for the pain and swelling. I would say that I was much better by May, which was 5 months after my surgery. I am now 9 1/2 months post-op and feel so much better! I also had my hardware removed at 8 months post-op and I am doing fine. The hardware removal surgery was nothing like the first surgery. It was ambulatory (same-day surgery) and you are able to walk on the leg immediately following the surgery. It feels so much better to have the hardware out of me!
      This is a very long recovery but if you continue with your physical therapy and do what the doctor tells you to do, you will be walking before you know it. Eating well and resting are a very important part of this recovery as is the physical therapy so take care of yourself. It can get boring but you can catch up on television shows, movies, reading and resting. Please make sure that you stay in touch with friends and family as they will help you mentally. This too shall pass! Good luck and keep in touch with all of us on this website.

  7. Hi kirstie I did my tpf in February I know how you feel I also got a blood clot, at moment still on crutches I’m doing my excersizes everyday but still can’t put full weight on it or bend or straighten it fully I hope you recover better than I have cheers John

  8. I fractured my tibia plateau little over a month no weight bearing 8 to 10 weeks and wearing a brace 24 hrs a day.Hopefully starting pt next week very long process! Developed blood clot in the calf of the injured leg at 44 yrs old i think my hockey and softball days are over neva want to go threw this again

    • Do not wait for physio syart it straight away. in France where I live I started physio 5 days after my accident,lying down with one leg in the air after the other and gentle controlled bending of knee with a machine .It is not fairbut you loose muscle quicker than you gain it ! Opposite to loosing weight !

  9. Hi Ann-Marie: It sounds like you did not have any bone displacement but just a crack on the edge of the top of your tibia. Was an X-ray taken to confirm that? If the cracked edge of the tibia has in fact moved, even a little bit, then surgery to move the fractured part back to its original position and secure it with a plate and several screws, would be the normal treatment.
    This is a bit of a specialized injury and you should be sure that your doctor has significant experience in this area and knows all about this type of injury and the treatment required. If not, get a referral to someone who does. If you do have bone displacement and no surgery is done then from what I’ve learned, your knee will be permanently damaged and you’ll be left with a painful knee and possible ongoing limp.

    • Yes I have had two X-rays now and the bone specialist didn’t really say to much to me all he said was to come back in two weeks . The X-ray report saids I have a medial tibial plateau fracture with small joint effusion with no lipohmarthrosis .

  10. Its been 8 1/2 weeks since my surgery. I slipped on 23 July and was operated on the 25th July. The tibial plateau fracture I had sustained was quite bad and resulted in plates and screws. i initially wore a rigid neoprene brace and from last week I am now wearing a hinged brace as required. Thankfully no brace needed at night. I am still non weight bearing for another 3 1/2 weeks, making it a total of 12 weeks non weight bearing. I have been doing gentle foot rotations and knee bends/stretches, and will see physio in another weeks time. I have found that the knee and surrounding area is very tight, and the swelling around the knee is hindering how much movement I can get. I am looking forward to weight bearing and starting the walking process, but wonder how painful this will be. The surgeon on last weeks visit said I could go full weight bearing after the 12 weeks.There is still swelling around the knee and ankle/foot and from reading the forums I see this is normal. I do gentle stretches 2-3 times a day, yet I still find that the knee is tight and the the improvement after each session seems to have gone by the next, has anyone else noticed this?

    • Hi Jacky,
      First let me say how sorry I am that this has happened to you. This is a tough injury and recovery but with the physical therapy and patience, you will make it.
      What you have written about is definitely normal to me. I am almost 10 months away from my tpf with torn meniscus, torn ACL and torn MCL. I had a lot of swelling around the knee before weightbearing and after weightbearing. Once I became weightbearing, I had much pain in my ankle and foot by the end of the day. This is normal. I was put on an anti-inflammatory at that point and that helped me tremendously. Also icing was crucial. I still ice my knee to this day when I need to. I can’t stress enough how important the physical therapy. I noticed great improvement with my knee once I started the hydrotank, which is water therapy. It is basically a treadmill underneath water. I would walk for 10 minutes on that and then afterwards, the therapist would stop the treadmill and I would do leg lifts to the side, back and kick-backs. I also did lunges. If you have access to a pool, speak with your surgeon about beginning the water therapy once you are weightbearing. I loved it!
      I also had my hardware removed at 8 months. Once it was removed, my knee was so much looser and I have very little swelling now. I don’t have to take an anti-inflammatory anymore and only ice it after a tough physical therapy session. I am walking without a problem, although I am slower than I was prior to my accident. (I was hit by a car back in December.) I do have some “clicking” noise when I first get up after sitting or lying down for a long time but once I walk a bit, it goes away. All in all, I think that I am doing well.
      My advice is to keep up the physical therapy, ice your knee, and speak with your surgeon about anything that is bothering you. When you first begin to walk, it is going to be tiring and painful but it will get better. Keep us posted on your progress!! Good luck!

      • H i Barbara, Thankyou for your comments. It will give me an idea of what I may expect, knowing of course everyones injury is different. I hope our local pool will open soon and I will use that for water therapy. I am not sure if I will have the hardware removed, will discuss that with the surgeon if I have issues after my rehab. As you have mentioned physio and physical therapy is crucial and also patience…..something I have had to learn over the past weeks. I shall give you an update once I first start weight bearing and let you know how I get on. Thanks for your tips. I shall put my icepacks in the freezer and get some anti inflammatory tablets.

  11. Hi I fell on both knees on a metal grading step at work on Sept 12 and the X-rays show that I have a medial tibial plateau fracture in my right knee . I already have arthritis in that knee . I have the uncomfortable spilt on and I use crutches but my bone Dr hasn’t really said much to me . I don’t have any bones out of place but I have a small amount of fluid on the knee . What should I expect

  12. Catherine,
    So sorry to hear you were hit while biking. I was hit by a car while walking to the gym, ironically. Sucks. You should be getting pretty close to weight bearing. I started at about 6 1/2 weeks. It wasn’t pretty but I was happy to be up and about, regardless. Bikram has helped me tremendously though it’s modified. Good luck to you and feel free to ask any questions you might have. The progress can seem snail slow, but it comes!

  13. I am 39 year old male having a proximal tibia and fibula facture dt 28.Jul.2016 and operated dt 01.Aug.2016 with plate and screw. Dr has advised me 3 months rest at home with some physiotherapy exercise in home with nill weight bearing in right leg. In one and half month my knee and ankle range of motion is 95%-90% respectively.Feeling 90% okay

    • Hello Vinod,
      Sounds like you are doing well. Keep up with the physical therapy and I am sure that you will be much better soon. Follow your doctors instructions and also rest and eat well. Keep us all posted!

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