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 TPF 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 TPF. 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 as well as pain, heat flashes, edema and stiffness Some of these will be cause 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 tpf 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 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


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 tpf. 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 TPF 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.

240 thoughts on “Recovery

  1. i would like to thank you for all the notes you wrote here, coz I am suffering from TPF right now. this is not only a physical treatment but also testing my mental tolerance as well.
    your notes are very very helpful ! i will try to put my recovery tips during the next reply too.

  2. I had a Type I Avulsion Fracture of the Tibial Plateau on 2/10/14 in a snow-skiing accident. I did not have surgery either – complete imbolization for 4 weeks in the brace (locked down) with no movement of the knee joint. I used a walker because it was easier to carry stuff in the seat and I could sit down when I got tired. I was in the brace another 4 weeks without the lock-down. I would discuss you care with your physician. Be patient…….I worked every part of my body that I could while the leg was in lock-down and braced. Follow their instructions and don’t try to recover to quickly. On 11/2 /14- I will be running the NYC Marathon (26.2 miles). Once again, if I can give you any advice – be patient, don’t rush things.

  3. Hi, I’m so glad I found this page. I have a 2mm fracture of my left tibial plateau. My ortho said no surgical intervention needed now but cannot weight bear for 6 weeks. I have a knee brace on which helps to keep it from moving..I have no pain in my knee but the lateral aspect just below the knee hurts. My question is how soon do you start to do ROM exercises especially in the knee?

    • I started working ROM 2 weeks after surgery. But. Since you didn’t have surgery… You would want to consult your Dr on that as you do not have plates and screws holding things together you don’t want to cause further damage.

      • Thanks Andrea. I will see him next week and will ask. I guess hearing the news that I had a fracture blew my mind a bit and I really didn’t think to ask him any questions about the long term.

  4. At 44yrs old I split my tibia from the top of the knee halfway down to the ankle on March 17th. I was doing a PT test for the police department and had jumped from a 6ft wall. I heard a pop and fell to the ground. Determined to finish the obstacle course, I pulled myself up using the wall and ran on the broken leg (didnt know it was broken, did hurt though). The knee had shifted and was pushed down into the tibia. I had surgery a week later. A plate and seven screws were inserted. I went to physical therapy for 44 visits. I returned to work at a sedentary desk job on August 8th. I have yet to resume normal activities at home or work and was told it may be next year before I am 100%. I now walk with a limp and continue to have pain everyday. The pain will subside from time to time but comes back with use or overuse. I am considering using a pedometer to keep track of progess or at least be able to see how far I can walk without overdoing it. Just being patient has been extremly difficult and I know most of you share the sentiment. It does get better but just takes a long time. Don’t let your boss or others pressure you into doing too much too soon. If you have pain or concerns let your doctor know and be honest. Nobody will take care of you but yourself.

  5. Great site and been helpful to get through this injury.

    My experience seems a bit different.. Displaced fracture 4mm, TPF IV.. happened 10/5. Had surgery on 10/8 but only had 1 screw put in. I was released from hospital 10/13 and have been home since, just going back to hospital for bandage changes and short doctor check. He seems pleased with the progress.. I will have the stitches out next Friday. He did some bending of my knee checks yesterday and seemed it was recovering well, but of course no WB. Walking with crutches right now, in a full splint for 3 weeks until I change to a brace for 3 weeks after that. Hoping to be back to “somewhat normal” 6-8 weeks after surgery.

    Not feeling “too” much pain though it comes and goes in spurts.. more than anything it’s not my knee, but my calf from being in this splint. Will go back to work next Monday (Saturday now).

  6. I suffered my injury on June 20, 2014.
    I had surgery 3 1/2 months ago and I am currently in PT. Most of my pain has been in my hip and butt cheek. I still can’t bend my knee completely or straighten it .
    Getting frustrated with discomfort.

    • I hear ya.

      Since my mid-May motorcycle crash I have not had one day free of aches and discomfort.

      Don’t give up. This is an injury that requires time and patience to rebound from.

      For me, heat works with loosening things up (in fact in the early days of rehab that was the only thing that got me to the point I could bend and straighten the leg).

      Hang in there, and best of luck to ya.

  7. I broke my tibia platiua feb23 and I have 5 fractures also. I still have a lot of ppain and can only walk on a walker.a short distance

  8. Hello sir,am very greatful for responding to my question,i want you to help me help out of these problem, firstly what can i do or take to decreas the swelling cuse by callus formation according to what my doctor said,u said in ur texe that with the aid of ice and elevation the swelling would decreas,pls sir i could not understand,dd u mean ice water and that of elevation explay+2348059218326

  9. Goodmonring sir,first of all i want thank u for ur responding to my questions,it was 2month now when am be sleepy on bed without sittingdown in the hospital, you wi imaging the pain sir,i want you to help me out of these problem,doctor said is when the callus formation is dissolve i.e making the affected place to swelling, delaying to cast pop to the leg, sir what can i do or taking so that swelling would come down pls,refer to ur text u said with the aid of ice and elevation it would help,sir i want to ask is it ice block water and that elevation i don’t understand explay.+2348059218326

  10. Pls sir,what is solution to a fracture that start develop callus formation when it is not yet time, cousing the affected place to swelling up

    • A bone callous indicates the bone is healing. I don’t think you want to interfere with that…because bone healing is what you want.

      The swelling is a natural by-product of injury and healing. That cannot be avoid, although elevation and ice will be very helpful in decreasing the swelling.

      Good luck!

  11. I had compounded tibia fracture on 28th July. I was operated and plates and screws were inserted. After 40 days post x-ray doctors advised non weight bearing walking with the help of walker. after 20 days i was advised to switch to a stick . initally for the one week, i recovered very fast and was able to walk. However , suddenly one day in the morning, i started feeling giddy and have shooting pain from the place where i was operated. X-ray revealed no damage and doctor says everything is fine. Though the pain has reduced, it still persists. can i continue to use the stick or need to go back to the walker for some more days. need to move on as its almost 70 days post surgery. any advise.

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