Tibial plateau fracture

[JimmyCarter]

So I’ve been reading my MRI notes before my upcoming doc visit this Thursday.

Good news: my acl is still intact
Bad news: small anterolateral tibial plateau subchondral fracture (non-depressed/non-displaced)

Anyone have experience with this? Near term skiability? Long term prognosis with knee pain?

[Dexter Rutecki]

Yeah, in one of my blown ACL's I shattered the condyles. Was not an ongoing issue.
I was pretty young on that one, though, so YMMV. Ask your ortho. My guy didn't say anything about it which made me assume it wasn't a concern, which I guess was true.

[JimmyCarter]

That sounds painful.

My (foot and ankle) surgeon buddy says it’s about as good a prognosis as I could get considering it’s fractured at all, I’m just two weeks out from a Park City trip and wondering what I can get away with.

[detrusor]

Shouldn’t be a bid deal long term. The eldest pretty much crushed hers a couple years ago, out 8 weeks, no residual. You’ll likely be non weight bearing for a while so it can heal. Don’t try and get back earlier. That’s stupidity at its finest.

[JimmyCarter]

Shouldn’t be a bid deal long term. The eldest pretty much crushed hers a couple years ago, out 8 weeks, no residual. You’ll likely be non weight bearing for a while so it can heal. Don’t try and get back earlier. That’s stupidity at its finest.

I pride myself on the quality of my stupidity!

It’s been weight bearing with no pain since a few days after the incident (about 3.5 weeks) but obviously non-impact weight bearing.
There’s some legacy cartilage damage from prior acl/meniscus injury on that knee but doesn’t sound like anything new, which I’m hoping is beneficial to recovery.

[jerlane]

There may be some room for interpretation. Not all “subchondral fractures” are the same. This may be more of a glorified bone bruise. The fact that you’ve been weight bearing pain free and there was no depression is a good sign. It takes a while for the bone marrow edema to resolve radiographically


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[MagnificentUnicorn]

Yeah, in one of my blown ACL's I shattered the condyles. Was not an ongoing issue.
I was pretty young on that one, though, so YMMV. Ask your ortho. My guy didn't say anything about it which made me assume it wasn't a concern, which I guess was true.

What did they do to fix your shattered condyles?


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[JimmyCarter]

There may be some room for interpretation. Not all “subchondral fractures” are the same. This may be more of a glorified bone bruise. The fact that you’ve been weight bearing pain free and there was no depression is a good sign. It takes a while for the bone marrow edema to resolve radiographically


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^this
Got the ok from the doc to proceed within my comfort level.
Basically bone bruise on non-weight bearing part of knee (and dealing with some residual knee issues dating back to first acl reconstruction a few decades ago) but no surgery/etc required.

[detrusor]

Since everything was non displaced and her growth plates were not involved it was straight leg brace non weight bearing. Got lucky for sure.