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Message: [QUOTE="Conndog, post: 4134553, member: 5939"] I did some research on tibial plateau fracture surgery. Here is some info from Orthopedic Trauma Association, an educational forum of orthopedic surgeons headquartered in Illinois. The severity of Paige's injury is not public knowledge and will impact how long it may be before returning to basketball. This is serious, I don't think she will play this season but hope I'm wrong. [B]"BASIC ANATOMY The tibial plateau is the flat top portion of your tibia bone, which runs from your knee to your ankle. The bottom end of your thigh bone (femur) and the top end of your tibia form your knee joint. The tibial plateau is a relatively flat surface of bone covered in cartilage. This is a very smooth, low-friction surface, designed to allow your knee joint to bend and straighten. There are two menisci, or shock absorbers made of cartilage, that sit between your tibia and the femur. These are commonly injured in sports activities. Depending on where the break is and how well it is lined up, tibial plateau fractures may be treated with or without surgery. Your surgeon will discuss this with you and give you options for treatment. If your fracture can be treated without surgery, you may be kept in a brace or a splint for a period of time. Generally, you will not be allowed to put weight on your leg for 6 to 12 weeks. Once you do start putting weight on the leg, it will just be a little bit to begin with and then you can slowly increase the amount over time. If your bone is broken in many places or it is not lined up correctly, you may require surgery. Your surgeon will evaluate your skin and swelling to decide when he or she thinks you are ready for surgery. It may take several days to several weeks. Once surgery is safe to do, your surgeon will make cuts in your leg to line your bones back up. Depending on how your bones are broken, these cuts may be on the front of your knee, the side of your knee, or both. There is rarely a need to make an incision on the back of the knee. Plates, screws, and pins may be used to hold the bones in place. Sometimes, additional bone from either yourself or a cadaver is used to help repair the break. Bone substitute may also be used. This decision will be made by your surgeon.[/B] [HEADING=3][B]POST-OPERATIVE CARE[/B][/HEADING] [B]You will not be able to bear weight on your leg for weeks after breaking your bone. That means no walking on or pushing off of your broken leg. This is to keep the bones from moving as you heal. Depending on your injury, this will last 6 to 12 weeks. You may need to use crutches, a walker and/or a wheelchair. A knee immobilizer or hinged knee brace may be used to provide support for your leg. You will be instructed to work on gentle motion of your knee, ankle, and hip. This is to prevent stiffness and also to help your cartilage to heal. Your surgeon will let you know how much you should bend your knee. You may be prescribed physical therapy to help with motion and strength. It is important to follow up with your surgeon to make sure your bones are healing well and that your motion is good.[/B] [HEADING=3][B]LONG TERM[/B][/HEADING] [B]Tibial plateau fractures injure the joint surface cartilage. The injured knee joint can develop arthritis. The symptoms include pain with use, stiffness, swelling, and inability to tolerate exercise, stairs, or running. Some patients have bad enough arthritis that they have a knee replacement to help improve their pain and function. Stiffness and some weakness is very common. Physical therapy may be able to help with this. You may have a permanent limp and need to use a cane or assistive device. Rarely, more serious complications may require more surgery, hospital stays, or medications. These complications include swelling, infection, blood clots, and painful hardware."[/B] [/QUOTE]

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