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.

2,165 thoughts on “Recovery

  1. This forum has been such a help to me through this process! Thanks to everyone who contributes – each of you has taught me something about the recovery process and the patience needed. I am now 19 weeks post break – minimally displaced TPF from a fall down stairs while carrying a heavy piece of furniture, and just this week have finally been able to walk short distances inside without walker or cane. I am 65, active and work full time as a teacher at a school with no elevator, so I am still out on sick leave til I can do stairs and handle my city middle schoolers confidently.
    I am a ways from being able to go up and down stairs normally, balance on my right leg, take long walks, do Bikram yoga, or ride my bike but I am encouraged to finally feel that I am making progress. I have had a few down periods where I wondered if I’d ever walk unassisted again – maybe that too is normal, but now I am pretty sure that I will regain my ability to live an active life again. I second asking for help – I live alone in an old stone house with an upstairs bathroom and bedroom and a basement washing machine. The first 6 weeks of only being downstairs, sleeping on the couch and bathing in the kitchen sink were the pits, but with the help of friends and family I made it through. (Also insta cart). It is such a relief to now be planning the dishes I’ll be bringing to my daughter’s on Thanksgiving… a far cry from the helpless feeling of toe-touch weight bearing & using that blasted walker to move from couch to kitchen and back. I’m now looking at the big picture of a year or two recovery for full function and feeling like I DO have what it takes to keep up the PT and the attitude to get there.

  2. This forum has been such a help to me through this process! Thanks to everyone who contributes – each of you has taught me something about the recovery process and the patience needed. I am now 19 weeks post break – minimally displaced TPF, but multiple breaks, and just this week have finally been able to walk short distances inside without walker or cane. I am still a ways from being able to go up and down stairs normally, balance on my right leg, take long walks, do Bikram yoga, or ride my bike but I am encouraged to finally feel that I am making progress. I have had a few down periods where I wondered if I’d ever walk unassisted again – maybe that too is normal, but now I am pretty sure that I will regain my ability to live an active life again. I second asking for help – I live alone in an old stone house with an upstairs bathroom and bedroom and a basement washing machine. The first 6 weeks of only being downstairs, sleeping on the couch and bathing in the kitchen sink were the pits, but with the help of friends and family I made it through. (Also insta cart). It is such a relief to now be planning the dishes I’ll be bringing to my daughter’s on Thanksgiving… a far cry from the helpless feeling of toe-touch weight bearing & using that blasted walker to move from couch to kitchen and back. I’m now looking at the big picture of a year or two recovery for full function and feeling like I DO have what it takes to keep up the PT and the attitude to get there.

  3. I sustained a tibia plateau fracture on 2nd September. I am partial weight bearing and can now bend my knee to 90 degrees. At 60 and with osteoporosis I was concerned that my recovery would be slow but a good diet and some exercise is helping. I didn’t have surgery as the surgeon told me he didn’t want me to have to have surgery twice. Because I will need a knee replacement at some stage.
    I don’t start physio until 6th December and still have a lot of pain in my knee if I have a slight sideways movement of I put too much weight down and during the night it is very painful. I am really looking forward to talking to an expert and finding the correct exercises to do. My OS has said I should bend my knee and I should sit and raise my leg. That was it! When questioned further he said that I will know when I have done enough and I will know when I can take the brace off at night.
    It has been massively helpful to me to read your posts. Thank you.

  4. My name is Nincy, I had an accident on October 11 and I had tibial plateau fracture I’m about 6 weeks post op now, and my tang of motion is literally barely 20% I’m super depressed I am a 20 year old with a two year old son and cannot stand or walk or bend my knee what so ever, whoever I try to there’s so much pain. I’ve been going to physical therapy 2x a week they’re bending I’m the knee themselves kind of forcing it, but I don’t know if it’s normal that I can’t it bend it fully with out me screaming when it’s barely at a 49 degree angle.

  5. Hi im Arnold ,i had a tribial plateau fracture 4 weeks ago & have scheduled surgery for next week .This implies that I’m having surgery after 5 weeks since the injury, this is mainly due to financial limitations. The Doctors in my country are asking for US $3000, is this price fair?

    Moreover I have been doing some homework & research on the type of injury & I have concluded that 6-8 weeks is good enough to start putting full weight on the Leg as opposed to the AO recommendation of up to 12 weeks, how far true do you think I am?

  6. I fell in gym on 10/18/19 and I have a NonDisplaced Tibial Plataue Fracture but it doesn’t hurt to put weight on it at all… I can put pressure and everyhing on it so I don’t think I have a fracture… Any advice on how I can figure out if I actually have a fracture without doing an Xray or Catscan?

  7. Hello!
    I got into a nasty road accident in Kenya : a minibus rammed into our school bus at full speed so all things considered my Schatzker 6 tibia plateau fracture is nothing compared to the death of nine people in the minibus, and I was the worst injured. Reading these notes and comments is useful as I am trying to get over the anxiety and trauma in order to plan my recovery. Thanks again.

    • How very awful and traumatic. I wish you the best in all this, the loss of life, the trauma, and the TPF. Thing to remember is your own body’s ability to heal, your doctors, and the passage of some months will resolve the broken leg. In one sense, probably a better use of the immediate future is to focus on getting help with recovering from the larger trauma. The leg, if you let it heal, follow doc’s orders, will take care of itself. Be patient.

  8. Rob, I concur with Amy. You are early in the process. Had a compound fracture, 6 screws and a plate, while playing softball. I used to run 5 miles a day and while its difficult to run, I bike regularly, do HIIT training and squat regularly. Its a long process. I won’t preach because you probably had enough of that but the one thing that helped me through was putting the work in on the rehab side and getting stim and ice regularly. I lived in the gym for my first year, starting with 7 days after the surgery on crutches. It helped my body and my head. Put the work in and be serious about treatment and your mobility will come back slowly. I still have pain but its minimal. Don’t stress about skiing for awhile and just get at it!
    Good luck man!

  9. I am into my fifth month of recovery. As a Forest Engineer at the age of 55 I have to change my career. I suffered a type 2 depressed distal fracture while skiing. I don’t think I will ever ski again. It’s difficult to walk down stairs. It’s very depressing.

    • Hang in there Robert! It does get better. I was hit by a car, had a displaced tpf…plates, screws, etc. I was very active prior and had been an athlete most of my life. I am totally back to normal. I’m squatting more than I did before being hit and have regained my ability to do just about any sport I want. You’ll get there! I did not let anyone convince me that I could not make a full recovery.

  10. Starting week 3 of my confinement(jail) after a non-surgical tpf. I started experiencing cramping and aching in my calf muscle to the point the my leg just flexes thru the to the foot. Some sciatic pain down the whole leg. Anyone else experience this during recovery?

    • Trying to find out the same thing… I can’t find anything on the internet that addresses this type of pain. I have it also. I don’t know if it helps much but I try to massage my leg muscles hoping that will help when I begin PT. I am following for to see if anyone responds……

  11. I have a non displaced TPF right leg. The result of a happy dog barreling into it. I have been in a straight brace NWB for 6 weeks and have now been moved into a hinged brace for the next 6 weeks. I can release the hinge when I am sitting but am to lock it when walking. Now at 50% WB. I am doing exercises on the floor without the brace, but am wondering how long before the swelling goes down, I can only do 45% with my knee and I believe it’s because of the swelling?

    • I am in my 7th month of recovery. I still have ankle swelling on the injured leg. The swelling has gone down in the knee area – mostly. Ankle swelling goes down during the night usually. If I have a long day of walking , especially when it is hot, the swelling appears to be more. I have been traveling in Africa since the end of July and ice packs are not available. That said, each day gets better. I haven’t used the cane for about 2 weeks unless I will be walking on an uneven, rocky surface. No pt is happening other than plain ‘ole walking. I work hard at reducing the limp as it affects the whole body posture. Best of luck to all with this type of injury.

  12. I fell 8 weeks ago and have a non displaced Tibial fracture. I was non weight bearing and on crutches for 7 weeks. One week ago my doctor gave me the ok for full weight bearing and one crutch as needed, as well as physical therapy twice a week. The first couple days went well, now I have extreme pain on the other side of the knee. I have an appointment tomorrow morning. I never thought this injury would be so hard to get over. I am extremely depressed, and miss working out and just normal every day activities. I am hoping there is nothing else serious wrong, I could not stand the thought of surgery after all this time.

    • Hi Teresa, how did your appointment go? I hope that it doesn\’t need surgery again. It must be scary and frustrating after 8 weeks, but from everything I have read it is unlikely the bone has opened up again after this long. I have a minimally displaced TPF type V which I did in a skiing accident. I also avulsed my ACL and had to have surgery almost 6 weeks ago with a plate and 7screws inserted. I am still NWB and hope to be PWB next week. I know what you mean about being depressed, it is definitely not just a physical challenge but also a huge mental one. I find it so difficult not being able to do what I used to take for granted. I think that all of this is normal. I just wanted to let you know that you\’re not alone. Good luck!

      • Thank you for sharing, I fractured my Tibia on August 10th, 2019. I am sooo… depressed. I know Iam lucky it could have been worse. Its just so hard trying to take care of 2 dogs, & my bathroom is upstairs on my split level home.Thank God for UBER! Or i couldnt get to work. I am so tired & frustrated.

        • Linda: I’m at 11 months recovery. It does get better but is a very slow process. Do you have help at home? It doesn’t sound like it. Believe me, you will need help to get through this. If you have family and friends, now is the time to ask for help! I couldn’t have made it through this without help! You are still in the early stages of recovery, so hang in there and know it takes time. Do all the exercises you can as soon as you are allowed as it helps speed up healing. All the Best.

          CJ Jones

    • I’m interested to hear what you learn at your appointment. Everyone’s TPF is different, and different doctors have different approaches, but going full weight bearing at 7 weeks seems rushed. Of course, again, in your case there may be reasons that it should be just fine, but it’s not typical to be FWB so early.

      I’m 7.5 weeks post-injury myself. Mine was a minimally displaced proximal fracture. The doctor opted to treat it non-surgically due to the complexity of the fracture. He says I can begin walking unassisted in a swimming pool at 10 weeks, but no weight bearing before that. He expects I’ll be FWB at 12 weeks.

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