Tibial Plateau Fracture, advice?

Suffered a TPF on July 3rd, had surgery the 13th. Ive read horror stories about this injury and i really hope ill be able to walk/jog normally again and then ride again.

I came up short on a jump and just slid down the landing and my right leg just snapped outwards.

Anyone suffer this injury? I had a meniscus tear but no ligament damage.

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BobPA
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8/1/2016 9:37pm
I did it when I was 16 or 17....12 years ago now. I was in a cast from my nuts to my foot for 12 weeks. Took a while to even be able to move my leg again. But after I rehabbed it I have had zero issues. I lost a few degrees of range of motion, but It really is not noticeable. My knee feels 100% and does not cause me issues.
motoXracer971
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8/1/2016 9:46pm Edited Date/Time 8/1/2016 9:52pm


Similar fracture, only I did do some ligament damage. Mine happened in '03 so I can give you a long term, "how's it gonna feel in...?". It hasn't kept me from doing anything, I'll put it that way. It gets sore from time to time, but I still ride a lot and do other things. Most days I don't even notice any pain. The soreness anymore is in the hardware & worn cartilage. Wear knee braces if you don't already. I tore my meniscus, MCL and PCL, so needless to say the support kinda sucks. The braces are a great piece of mind for me and I don't ride w/o them, ever.

Was this a moto crash? (Answered in the op, oops) Were you wearing braces? I was not...
Bman_145
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8/1/2016 10:32pm
Hope youre back to 100% soon! Good luck with everything. I too would like to know if you wearing knee braces?

Ive been riding with them since asterisk's first came out and wouldn't dare ride without them now. I don't even notice them when on the bike.
USMCMXer
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8/1/2016 10:57pm
I did this in spring of 01' I was active duty at the time of injury, and following about a year of rehab, PT, and hardware removal at 1 yr from injury, I remain on active duty over 15 years later (22 yrs total now). I get syn-visc (ortho-visc, etc), synthetic synovial fluid injections, twice a year and can still run USMC physical fitness tests. I run rarely otherwise, and use cycling, MTB and other low impact cardiovascular methods for fitness and in an attempt to prolong knee life and put off knee replacement surgery. Over time, your knee will develop osteoarthritis, so don't use cortisone shots until you do, as they can expedite arthritic joints. I get a little cortisone fix during my injections. At this point it is all about managing the pain and avoiding knee replacement until absolutely necessary. Every year replacement knee technology improves by leaps and bounds. I only want it replaced once in my life. Stay hydrated, that is really the only time I have pain and discomfort. My knee often sounds like popcorn though. Not trying to scare you, just sharing my experience. Good luck!

The Shop

8/2/2016 3:04am
Had the same on my right knee. All i can say is keep the extra weight off. Gain weight and the sob will hurt more. I still run and ride. Also occasionally i have to pop a motrin 800 if i get inflammation.
lappedrider
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8/2/2016 4:08am
I had a very similar break in 2001. 27 screws and three plates. I also broke my opposite foot in the same accident and was in a wheelchair for months. I heard all kinds of predictions about loss of movement and loss if ability.

I worked my ass off in rehab, I only lost just a few degrees of movement. I can still ride, I do BMX, even Karate. You can be fine you just have to work to heal yourself properly. And keep working on getting the most motion you can out of it.
hillbilly
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8/2/2016 4:30am
Yours looks beautiful cmpared to mine.

971 appears to have lost the cartilage on one side.

I drove the femur down shearing off 4 inch chucks on each side leaving the top pointed.

Lost cartilage and now have several degrees of downsloping on each side. That leg is half inch shorter also.

Mine hurts all day and all nite. Dread ever morning when i lay down at bedtime.
8/2/2016 4:31am
Forget about it. You'll be fine. I broke mine along with ligament damage, and it healed fine. I have a little lost motion but not much but that could be my acl causing that.
Tim507
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8/2/2016 6:20am
Tibial Plateau Break in 2001......used a bone growth stimulation device that I had used on Tibial Fibula break a year before that was not healing very well. The TP break healed just fine and rather quickly.
Highsider
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8/2/2016 6:47am Edited Date/Time 8/2/2016 10:21am
I did it back in the late 80s.
I call it my "proximal Tibial Plateau fracture" (not a doctor)

Mine was just the nodule that fits into the distal femoral "receptacle" and I was actually jogging in a couple of weeks.

Years later I wanted CTi braces, so I went to an ortho known in our area for moto repairs.
He laughed at the x-rays, saying he would have cut me open and pinned it tight.

As it is, I can slightly rotate my lower leg a bit within the knee.
My current ortho says when I reach my mid 70s, he will likely install a new knee.(he wants a new boat)

I blame a very strong ACL on this fracture, as it occurred from a hyper-extension with my leg extended in a slick corner. I have never had an ACL issue in 50 years of riding.

I am 64 and still race often, with knee braces, of course!
motoXracer971
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8/2/2016 7:01am
hillbilly wrote:
Yours looks beautiful cmpared to mine. 971 appears to have lost the cartilage on one side. I drove the femur down shearing off 4 inch chucks...
Yours looks beautiful cmpared to mine.

971 appears to have lost the cartilage on one side.

I drove the femur down shearing off 4 inch chucks on each side leaving the top pointed.

Lost cartilage and now have several degrees of downsloping on each side. That leg is half inch shorter also.

Mine hurts all day and all nite. Dread ever morning when i lay down at bedtime.
Everytime I look at my X-rays I honestly wonder why I'm not I more pain. The spot where the cartilage is missing is bone on bone, but I've never been on meds & its rarely kept me from doing anything. They weren't able to repair my PCL due to the location of the fracture so I'm lacking a lot of support front to back. The most pain I'm ever in is on a long car ride... I do pop a few Aleve before I get to the track whether it's bothering me or not. It helps with all the other lingering injuries too, and I've got a few. "Tuck and roll" is hard at 6'3".
hillbilly
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8/2/2016 8:16am
hillbilly wrote:
Yours looks beautiful cmpared to mine. 971 appears to have lost the cartilage on one side. I drove the femur down shearing off 4 inch chucks...
Yours looks beautiful cmpared to mine.

971 appears to have lost the cartilage on one side.

I drove the femur down shearing off 4 inch chucks on each side leaving the top pointed.

Lost cartilage and now have several degrees of downsloping on each side. That leg is half inch shorter also.

Mine hurts all day and all nite. Dread ever morning when i lay down at bedtime.
Everytime I look at my X-rays I honestly wonder why I'm not I more pain. The spot where the cartilage is missing is bone on bone...
Everytime I look at my X-rays I honestly wonder why I'm not I more pain. The spot where the cartilage is missing is bone on bone, but I've never been on meds & its rarely kept me from doing anything. They weren't able to repair my PCL due to the location of the fracture so I'm lacking a lot of support front to back. The most pain I'm ever in is on a long car ride... I do pop a few Aleve before I get to the track whether it's bothering me or not. It helps with all the other lingering injuries too, and I've got a few. "Tuck and roll" is hard at 6'3".
Caught my leg under the bar and drove the femur down thru.

I'd had knee reconstruction 20 yrs prior,acl,pcl,mcl. They used my kneecap tendon for donor tissue,i was worried about HIV in 90,and there is a screw right in the middle of the plateau that held the acl donor.

The plateau split right there and blew 2 four inch long chunks off each side of my leg.

Lost the cartilage and the plateau is supposed to be cupped to hold the femur,mine is like a upside down bowl that lets the femur slip around.

I have 8 3inch long screws,4 esch side that held the chunks and then 20 more screws that hold a L shaped plate that goes down to my ankle.

My doctor sucked,should have left and went to a sports guy.

OH,AND, I did it Saturday and laid at home till Thursday before he operated, I was stupid really stupid to let him fix it.
KTMShane699
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8/2/2016 8:24am






Broke mine April 18th of last year. It nearly cost me my career and it did cost me being able to ride. The recovery for me was long and painful. I can relate to Hillbilly with going to bed dreading the pain of waking up. Sometimes it's incredibly painful during the day or at night when I'm out with the family and I'm on it a lot. In my case, the plateaus weren't just broken, but shattered.

Hopefully your recovery isn't bad. Follow the doctors orders and start PT with a good therapist as soon as possible.

Good luck.
hillbilly
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8/2/2016 8:30am
You got more screws but mine was shattered also.

The pain is why i yoyo on painmeds. Its a choice of being in misery all day,all night,or getting some relief for periods of time.
8/2/2016 8:38am
I broke mine in November 2009 @ 29 years old. Took 4 months to recover enough to go back to work.

The injury hasn't kept me from doing anything but I can always tell its there.
RustyDelux
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Gaines, MI US
8/2/2016 8:39am
BobPA wrote:
I did it when I was 16 or 17....12 years ago now. I was in a cast from my nuts to my foot for 12 weeks...
I did it when I was 16 or 17....12 years ago now. I was in a cast from my nuts to my foot for 12 weeks. Took a while to even be able to move my leg again. But after I rehabbed it I have had zero issues. I lost a few degrees of range of motion, but It really is not noticeable. My knee feels 100% and does not cause me issues.
I took broke mine at 15. Similar break. Cast from nuts to foot for 12 weeks as well. Lost all leg muscle mass. Could barely walk afterwords, stairs sucked. after casting had surgery for the ACL, PT for a year after. Still have knee problems, but can ride ok.. Not a pro though!

I will need to have the knee fixed again soon now that I'm 33.
jonesaustin
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Austin, TX US
8/2/2016 8:45am
Same fracture in 2004, and if some people on here say it's an easy heal, they must have truly gotten off easy. As a runner, it destroyed my knee. The femur slammed through the knee and cracked the tibia at the top.

I went to the head surgeon for the Dallas Cowboys and Dallas Stars, Daniel Cooper, M.D. He told me half my knee was jacked, but the other half was okay -- the idea, he said, was we would cut into the femur, essentially removing a pizza slice from the bone, thereby redistributing the weight to the better side of my knee.

Although he had only tried this once before, it worked, so if they tell you you will never run again, you might ask them about this type of operation.

Good luck with everything, it's a rare fracture (surprised to see so many responses here) but if handled properly, you'll come out on top.
Bret
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8/2/2016 9:03am
2011, high side, bent leg sideways at the knee, femur crushed the outside of my tibial plateau. Surgery. Screws. Plate. Three months non-weight bearing. Many months of PT. The PT sucks but stick with it. Lost a few degrees of range of motion. After a year I was racing again. It gets sore once in a while but it is fully functional. I was 46 when it happened. I am 51 now and race vintage mx once a month. I have no complaints.
8/2/2016 9:42am
Thanks for all of your stories and advice everyone!

I was not wearing knee braces (stupid I know, broke recent college grad is a bad excuse)
I do wear these fly knee guards that go from the shin to the thigh, no doubt more damage would have been done if I had just traditional knee pads.

But overall I have to say my surgeon did a fantastic job and I am almost done with my first full week of PT, they're very optimistic about my recovery. I'll take the early on-set arthritis, but I'm gonna let this heal correctly and not rush it. Time to put the brand new Husky away until next year but it'll be worth it.

Once again thanks guys it's really good to hear others experience with this injury, it's a scary one
hillbilly
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8/2/2016 10:09am
I had on asterisk but the way it happened would not help.

Another problem is I drove the foot up thru my ankle on the other leg ruining the joint so both my legs are fubar.

I seriously think about cutting them off and getting a couple of them big springs .
floridaflash
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Melbourne, FL US
8/2/2016 11:48am
I waited till I was 56 to have a serious injury, and the tibia plateau is what I did. Plates,pins and screws on both sides, almost 1 year ago. I listened to my doctor, 13 weeks with 0 weight on it, now it is as good as new, full range of motion, no pain. Good luck
Zaugg
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8/2/2016 1:33pm
Please consult your local physician instead of the Vital Medical Staff.

peelout
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8/2/2016 1:39pm Edited Date/Time 8/2/2016 1:41pm
damn dude, painful one for sure.

i had the same fracture, i hyper-extended my leg while wakeboarding and it split from my knee to about 3 inches above my ankle. it didn't sliver off or separate so they just put me in a removable cast. i had to wear that fucker for about 5 months, it still kills me from time to time. sometimes it feels like my leg is splitting, no amount of IB profin will help. also, after i removed the leg cast i strained my MCL really bad, so i had to wear the god damn brace again for another 4 weeks.

best of luck
8/2/2016 1:51pm
Zaugg wrote:
Please consult your local physician instead of the Vital Medical Staff.

Lol just wanted to hear others experiences. I'm listening to my Doc at the end of the day.
8/2/2016 1:56pm Edited Date/Time 8/2/2016 1:58pm
[img]https://p.vitalmx.com/photos/forums/2016/08/02/145483/s1200_image.jpg[/img] [img]https://p.vitalmx.com/photos/forums/2016/08/02/145484/s1200_image.jpg[/img] [img]https://p.vitalmx.com/photos/forums/2016/08/02/145485/s1200_image.jpg[/img] Broke mine April 18th of last year. It nearly cost me my career and it did cost me being able to ride. The...






Broke mine April 18th of last year. It nearly cost me my career and it did cost me being able to ride. The recovery for me was long and painful. I can relate to Hillbilly with going to bed dreading the pain of waking up. Sometimes it's incredibly painful during the day or at night when I'm out with the family and I'm on it a lot. In my case, the plateaus weren't just broken, but shattered.

Hopefully your recovery isn't bad. Follow the doctors orders and start PT with a good therapist as soon as possible.

Good luck.
Oh my god. Oh my god. Bone pain. Omg. Good god. Looking at that xray just screams 5 hours in surgery.


Dude just make sure you're taking stool softeners, that's all I got.
8/2/2016 3:02pm Edited Date/Time 8/2/2016 3:06pm
"Just ride slow, you'll be ok, it's totally safe"

And we pay big bucks to do this to ourselves!

Conspiracy theory is the the motorcycle OEMs are owned by the Orthopedic Associations.
Zaugg
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8/2/2016 4:35pm
@Nick_Carvalho- Hope you heal up quick dude. I think most of us have been there (being out with an injury). Do what your doctors say and you'll be back at it in no time.

(Unless he says you should stop riding...then find yourself another doctor. haha)
Motoxdoc
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8/2/2016 5:06pm Edited Date/Time 8/2/2016 5:23pm
I did my tib plateau in 2005 and I can still run 3 miles no problem and I ride/race about 20 times a year...no problem with that either. Looks like you got lucky, like myself with regards to the joint space looking relatively maintained. First 2-3 months is just a waiting game for the bone to become strong enough to bare weight. When you begin rehab it's super important to get all of your knee extension back (that is ability to straighten leg completely). Flexion is important too but not as important as extension. If you think about when you're walking, each stride you extend your knee almost completely.....but you don't come close to flexing completely. If you can't extend completely you will walk with a limp, which will cause serious compensatory problems elsewhere in the body farther down the road. My good leg I can flex till my heel touches my butt....but the fractured tib plateau leg I can only flex til my heel is about 6 inches from my but....this isn't a problem, I don't limp and no one can even tell I fractured my plateau....I attribute this to my having recovered full extension in that knee. Don't jack it up while it's healing for the next few months and be diligent with your rehab, and you should make a 95% recovery. Good luck!

Here's my X-Ray....oh yeah, and 2 years ago I did a tib/fib on the same side and have another 23 screws there. I have 32 screws and 4 plates in my left tib/fib and plateau; all hardware is still there and none of it bothers me....not even when it gets cold.....and as I said above, I can still run long distances and race moto too. There is good life to be had after a tib plateau fracture!....and I'm 51 years old.

edit: The more I look at your x-ray Nick, the more I'm thinking that looks really, really good as far as tib plateau repairs go.

Motoxdoc
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8/2/2016 5:16pm Edited Date/Time 8/2/2016 5:19pm
[img]https://p.vitalmx.com/photos/forums/2016/08/02/145483/s1200_image.jpg[/img] [img]https://p.vitalmx.com/photos/forums/2016/08/02/145484/s1200_image.jpg[/img] [img]https://p.vitalmx.com/photos/forums/2016/08/02/145485/s1200_image.jpg[/img] Broke mine April 18th of last year. It nearly cost me my career and it did cost me being able to ride. The...






Broke mine April 18th of last year. It nearly cost me my career and it did cost me being able to ride. The recovery for me was long and painful. I can relate to Hillbilly with going to bed dreading the pain of waking up. Sometimes it's incredibly painful during the day or at night when I'm out with the family and I'm on it a lot. In my case, the plateaus weren't just broken, but shattered.

Hopefully your recovery isn't bad. Follow the doctors orders and start PT with a good therapist as soon as possible.

Good luck.
That is a GNARLY tibial plateau fracture!!!!!!!!! I feel for ya! Your x-ray makes me feel like I was on easy street with my fracture.
8/2/2016 6:06pm
Thanks Motoxdoc, I'm surely not going to rush it. PT is going well and I'm almost at 0dg extension and just about 90 flex.

My OS did a miraculous job and this could've been a lot worse.

Seriously thanks to everyone for their input

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