Tibial Plateau Fractures: The Basics

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Nurses Edition Commentary

Mizuho Spangler, DO, Lisa Chavez, RN, and Kathy Garvin, RN
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Crystal H. -

Are there recommendations to observe all of these patients 6-12hrs after the injury for the development of compartment syndrome or is that just based on mechanism of injury?

Rob O -

Hi Crystal, Here is the response from Dr. Ramadorai.... low energy tibial plateau fractures have a lower rate of compartment syndrome and as long as the patient is counseled concerning the signs and symptoms of compartment syndrome and to return if any of those occur that it would be way overkill to observe everyone. The higher energy mechanisms will be pretty swollen from the get go and warrant observation in my opinion.

Duncan J. R., M.D. -

Hi, Requesting a small clarification regarding the classification. There are some differences between the type 2 and 3 classifications, of what mentioned in the summary and the accompanying video. Please update. Thanks.

Uma R., DO -

Duncan,
You are correct. Type II and III are switched in the content. Clarification:
Type II- Lateral split depression
Type III- pure lateral depression (osteoporotic)

Thank you for catching this, I mix those two up regularly.

Uma

Dallas Holladay, DO -

Had a tibial plateau fracture on shift the other day and all I really remembered from this was "some tibial plateau fractures are really bad." A quick google brought me back to the ep and the summary was super helpful, thanks again!

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