MEDICAL REHABILITATION IN PATIENT WITH RIGHT TIBIAL PLATEAU FRACTURE
Abstract
ABSTRACT: Tibial plateau fractures are frequently complex intra-articular injuries with a variety of fracture patterns, portending a poor prognosis due to associated complications, i.e. compartment syndrome, cartilage destruction, soft-tissue envelope damage, post-surgery infection, knee instability or stiffness, and post-traumatic osteoarthritis. Because tibial plateau fractures present numerous challenges for restoration, surgical fixation is often necessary. However, although most of these injuries are treated surgically, nonsurgical management is considered for a subset of patients with minimal fracture displacement (MFD). The goal of treatment is to restore anatomic contours to the articular surface, to prevent posttraumatic degenerative joint disease, allow soft-tissue healing in optimal position, and prevent knee stiffness with a painless range of motion and function.
Â
ABSTRAK: Fraktur tibial plateau pada umumnya merupakan cedera intra-artikular kompleks dengan berbagai pola fraktur, menandakan prognosis yang buruk karena komplikasi terkait, yaitu sindrom kompartemen, kerusakan tulang rawan, kerusakan selubung jaringan lunak, infeksi pasca operasi, ketidakstabilan atau kekakuan lutut, dan osteoartritis pasca trauma. Karena fraktur tibial plateau memiliki banyak tantangan untuk restorasi, fiksasi bedah seringkali diperlukan. Namun, meskipun sebagian besar cedera ini dirawat dengan pembedahan, manajemen non-bedah perlu dipertimbangkan untuk sebagian pasien dengan minimal fracture displacement (MFD). Tujuan perawatan di sini adalah untuk mengembalikan kontur anatomis pada permukaan artikular, mencegah penyakit sendi degeneratif pasca trauma, memungkinkan penyembuhan jaringan lunak pada posisi optimal, dan mencegah kekakuan lutut dengan rentang gerak dan fungsi yang tidak nyeri.
References
Pean Christina A, MD, Chrisiano Anthony, MD et al: Functional and Clinical Outcomes of Nonsurgically Managed Tibial Plateau Fractures. Journal of the American Academy of Orthopaedic Surgeons 2017;0:1-6.
Chauhan Aakash, MD, MBA, Slipak Alan, MD et al: No Difference Between Bracing and No Bracing After Open Reduction and Internal Fixation of Tibial Plateau Fractures. Journal of the American Academy of Orthopaedic Surgeons 2018;26:134-141.
Phan Tri M, Arnold John, Solomon Lucian B: Rehabilitation for tibial plateau fractures in adults: a scoping review protocol. JBI Database System Reviews and Implementation Reports 2017; 15(10):2437-2444.
Kram Derek A, MD, Murthy Vasantha L, MD. Tibial Plateau Fracture. In: Hoppenfeld Stanley, editor. Treatment and Rehabilitation of Fractures. Lippincot Williams & Wilkins. Philadelphia ; 2000. p.346-361.
Kubiak Erik N, MD, Beebe Michael J,MD. Early Weight Bearing After Lower Extremity Fractures in Adults. J Am Acad Orthop Surg 2013;21:727-738.
Koval Kenneth J, MD, Helfet David L, MD: Tibial Plateau Fracture : Evaluation and Treatment. Journal of the American Academy of Orthopaedic Surgeons 1995;3:86-94.
Cole p, Levy B, Watson JT, Schatzker J: Tibial Plateau Fractures, in Browner B,Levine A, Jupiter J, Trafton P, Krettek C, eds: Skeletal Trauma, ed 4. Philadelphia, PA, Elsevier, 2009, vol 2.
Molenaars Rick J, Bsc, Mellema Jos J et al: Tibial Plateau Fracture Characteristics: Computed Tomography Mapping of Lateral, Medial, and Bicondylar Fractures. The Journal of Bone and Joint Surgery 2015;97:1512-20.
Skinner Harry B, Fitzpatrick Michael. Tibial Plateau Fracture. In : Current Essential Orthopedics. Mc-Graw Hill Companies. United States of America: 2008. p.28.
Wade R. Smith, MD, John R. Shank, MD, Harry B. Skinner, MD et al. Musculoskeletal Trauma Surgery. In: Current Diagnosis and Treatment In Orthopedics, 3rd ed. Mc-Graw Hill Companies. United States of America: 2003. p.84-85.
Manidakis N, Dosani A, Dimitriou R, Stengel D, Matthews S, Giannoudis P: Tibial Plateau fractures : Functional Outcome and incidence of osteoarthritis in 125 cases. Int Orthop 2010;34(4):565-570.
Kisner Carolyn, PT, MS, Holtgrefe Karen, PT, DHS, OCS. Joint, Connective Tissue and Bone Disorders and Management. In : Therapeutic Exercise Foundation and Techniques, 6th ed. F.A Davis Company. Philadelphia : 2012. p.342-350.
Delamarter Rick, MD, Hohl Mason, MD: The Cast Brace and Tibial Plateau Fractures. Clinical Orthopaedics and Related Research 1989;242:26-31.
Assiotis A, Sachinis NP, Chalidis BE. Pulsed Electromagnetic Fields for the Treatment of Tibial Delayed Unions and Nonunions : A prospective clinical study and review of the literature. Journal of Orthopedic Surgery and Research. 2012;7;24
Cameron Michelle H. Laser and Light. In : Physical Agents and Rehabilitation From Research to Practice, 4th ed. Elsevier Saunders. Philadelphia ; 2013. p. 283-303
Robert P. Wilder, Jeffrey G. Jenkins, et al. Therapeutic Exercises. In : Braddom RL et al. Physical Medicine and Rehabilitation, 5th ed. Elsevier Saunders. Philadelphia ; 2016. p. 321-346.
