The tibial plateau is the top surface of the shinbone that forms part of the knee joint. Protecting this weight-bearing surface while it heals — while still working on knee motion early — helps preserve knee function.
This page explains how a tibial plateau fracture is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.
Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.
The tibial plateau is the top surface of the shinbone that forms part of the knee joint. Protecting this weight-bearing surface while it heals — while still working on knee motion early — helps preserve knee function.
A tibial plateau fracture is both a bone injury and a cartilage/meniscus injury.
This fracture may be treated with or without surgery, depending on the specific fracture pattern, how much the bone has shifted (displacement), and your individual situation. Your surgeon will determine the best approach for you.
A knee immobilizer.
No weight bearing (NWB) for about 12 weeks.
For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.
Knee range of motion (ROM) begins around 2 weeks.
Formal therapy for knee motion, quadriceps strength, gait, and balance after stability allows.
A 6–8 week X-ray to check healing, then a 12-week X-ray to confirm healing and clear the weight-bearing restriction. An optional 6–9 month X-ray may be used to monitor final healing.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
Work or School: Desk work with mobility accommodations; standing/manual work often delayed several months.
Sports or High-Risk Activity: Often 4–6 months or longer depending on joint injury and strength.
Compartment symptoms, increasing swelling, neurovascular changes, loss of alignment, wound issues, or DVT symptoms.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
A knee immobilizer.
Your surgeon will guide when it's safe to return to these activities based on how your specific fracture is healing. Follow the instructions given specifically to you.
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.