© Copyright 2026 American Medical Association. All rights reserved.
Closed treatment of a proximal tibial fracture, commonly known as a tibial plateau fracture, involves a non-invasive approach to manage the injury without the need for surgical manipulation. This procedure is specifically indicated for fractures that are either nondisplaced or minimally displaced, meaning that the bone fragments have not shifted significantly from their normal alignment. Prior to the treatment, radiographs, or X-rays, are obtained to confirm the presence and extent of the fracture. A thorough neurovascular examination is conducted to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there are no complications that could affect healing or function. In this procedure, the patient is fitted with a hinged cast-brace, which allows for controlled movement of the knee joint while providing stability and support to the fractured area. Additionally, the patient receives detailed instructions regarding nonweight-bearing activities to prevent further injury, and they are typically provided with crutches or another form of walking aid to assist with mobility during the recovery process.
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