Conservative Management of a Complex Schatzker Type V Bicondylar Tibial Plateau Fracture: A Case Report with 2-Year Follow-Up
Year: 2026
Type: article
Abstract: Introduction: Tibial plateau fractures are common injuries; the treatment can range, based on the type of fracture, from a simple knee brace to major surgery with metal plates and screws. Complex fractures have always been difficult to manage and are generally treated surgically because if non-adequately treated can lead to compromise stability and function. Non-operative management is rarely indicated because of concerns regarding fracture displacement, delayed union, joint instability, and the development of post-traumatic osteoarthritis. Case Report: We report the case of a previously healthy 36-year-old man who sustained a complete left tibial plateau fracture following a motor vehicle collision. The patient declined surgical treatment; therefore, he was initially treated with a cricket-pad splint for 1 week, followed by a hinged knee brace for 4 months, with progressive partial weight-bearing permitted during treatment. At the 4-month and 2-year follow-up, the patient achieved fracture healing, an excellent functional outcome, and complete return to normal activities of daily living. Conclusion: This case illustrates that a satisfactory mid-term outcome may be possible with carefully monitored non-operative management in selected patients who decline surgery or have contraindications to surgical treatment.
Institution: Link Campus University
Language: English
Subfield: Orthopedics and Sports Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $250
OpenAlex ID: W7225591775
FWCI:
Cites:
Cited by:
Related to: