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.

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  1. I am 19 months post dual TPF. Left leg was repaired with a Titanium plate (and screws) right TPF allowed to heal on its own. Such a long, hard process. Had a lot of trouble with the left leg–finally had the titanium hardware removed month 18 and it made all the difference. I was living in a world of pain, and now that the metal is out I feel like a completely different person. I had a very difficult time convincing my Dr’s that I was having trouble with the metal, despite my symptoms being textbook metal sensitivity side effects. I worked my ass off for 18 months, and still was unable to walk even 2 miles without unbearable symptoms. Dr kept telling me it was “Arthritis.” Trust your body, people. Fight for your health.

  2. I should also add, the break has completely healed fine and I have absolutely no pain, so pain is not the cause for lack of progression. One of the drs called me a medical mystery (not what you want to hear) 😔

  3. Hello there
    I am looking to see if anyone has experienced similar complications to me.
    I am 6 months post Grade 6 Tibial Plateau surgery. I was NWB for 12 weeks and was not allowed to bend my leg at all for 8 weeks post surgery. I have had extensive physio, hydrotherapy, swim and walk daily and still my ROM is less than 50 degrees. Multiple phsyios have said I have a hard block and feel physio will not improve things. My surgeon did an amazing job, but says there is nothing to operate on, as positioning is perfect. I need a manual manipulation under GA however I was diagnosed with Osteopenia as in surgery they found I have extremely soft bones (I’m on 35 yrs so this is rare). Doing this procedure will therefore probably break my leg. The surgeon feels physio will work in the end. Everyone is telling me conflicting things. 4 months into physio there has been no improvement and. I have been working extremely hard. I am going to get a second opinion, but has anyone else been stuck with an almost straight leg?

  4. I had TPF surgery 3 weeks ago and feel like I am doing pretty good in regards to pain. I was wondering if anyone else has experienced restless leg type symptoms after the surgery. The past couple of nights I have been unable to sleep due to frequent involuntary leg jerks. Any suggestions?

    Thank you for this website- it has been a wealth of knowledge!!

    • Mandy, I was wondering myself if anyone else had experienced those leg jerks. Kinda scary! I found that sometimes they seemed to come on from my pain medicine if I took too much at bedtime (was taking Hydrocodone and a muscle relaxer at the time) also seemed to have something to do with being NWB and improved once I could start doing more exercising with the muscles in that leg. I would suggest trying to just find a most comfortable position for sleep and to “calm your brain” and thoughts to try to relax. Hope that helps and know you’re not alone with this. Take care

    • The leg jerks go away after a few weeks, the nerves that were cut are healing. I had a few dreams where I was running and fell or realized my leg was broken and woke up in extreme pain because my leg jerked. Very realistic.

  5. I had my second surgery this week for my TPF that happened on Feb. 5,2017. The bone was not healing because the plate was not positioned correctly is what this new surgeon was telling me. So I have 2 long incisions now and am starting back with 4-6 weeks NWB and then on to therapy etc. I’m so glad that I sought a second opinion or I would’ve just been dealing with the pain indefinitely and assuming it was normal. It’s hard having to back up and go through the recovery all over again but I am hoping for total recovery this time around and at least I am aware of what to expect with the initial pain/swelling etc. Take care all, speedy recovery and God Bless!

    • any recourse on something like that? not your fault it was positioned wrong, you shouldn’t have to pay for it but i’m sure you prolly had too. so sorry to hear you had to do this, good luck 2nd time around.

      • thank you for your well wishes Michael. Both surgeons are from the same Orthopedic Group so I doubt that I would have any luck trying to “pitt” one against the other. Really would be hard to prove too that the positioning of the initial plate was the ONLY reason that healing did not occur. So, onward, lesson learned! Take care

  6. Hi barbara mam…this is priyanka here…daily still now my ankle is paining even without much strain..the part where v wear anklet…that round joint pains a lot…my surgery was at knee..but my ankle is disturbed…its paining..please tell if did u also experience this pain..even my calf muscle pains..

    • Hi D. Priyanka, I am sorry that you are having pain. No, I did not have pain there. I did have swelling, though at the ankle for awhile but then that went away. Please see your doctor about this and let us knock how you are doing.

    • I did have pain and swelling in my ankle also. I believe the ankle got twisted and sprained at the same time the leg broke. It took quite a while to feel better. When I started therapy, my therapist said a ligament in the foot/ankle had been stretched and a small bone in the foot was slightly out of place. So the pain wasn’t healing. She pushed the bone back into place, which hurt, but it healed quickly after that. Your doctor should check your ankle/foot. Also, I had a lot of calf muscle pain early on. I mean a LOT. Stretching the muscle is the only answer, with a towel under your heel and you pulling on the ends gently. Don’t pull too hard as that will pull on your injury area, but gently. Hope you feel better soon.

    • Hi D. Priyanka, I just want to clarify that I did have pain and a lot of swelling in the ankle area immediately after I first began to walk, at 3 months after my tpf surgery back in March of 2016. After a few months, that went away. If I remember correctly, your surgery was about a year ago I believe so by that time, I no longer had ankle pain or swelling.
      Have you been to the doctor yet? Use ice in the meantime to help with the pain and swelling. Please let me know how you’re doing.

    • I broke the tibia/fibula close to the knee. TPF. I had pain from my groin to my big toe. The initial pain eased after a month, to a tolerable level that I could go without pain medication, only for PT. The nerve pain from the surgery will persist for months, numb prickly pain, similar to a foot half asleep… all the time. It is basically mind over matter with this. Stretch and massage the muscles. Forget the painkillers, they aren’t really helping. I’m having a dull ache most of the time. Keep everything moving, resistance exercises. Recovery is like watching a glacier move.

      • I agree–the opiod pain killers (“Oxy/Hydro Codone” “Vicodin”) stop working after a while. Eventually, your pain level will actually feel like it increases, as your body craves more of the drug. You have to get off those pain killers as soon as you can. First 48 hours will be hard, but then it gets better.