What causes limping ten years after a tibial plateau fracture, and what should be done about it?
Oct 30, 2024
Source: Cainiu Health
Dr. Wang Lei
Introduction
In general, limping that occurs ten years after a tibial plateau fracture may be related to non-union of the fracture, muscle imbalance, joint stiffness, cartilage damage, or traumatic arthritis. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatments—such as conservative management or medication—under a doctor's guidance. Active rehabilitation exercises are encouraged, and smoking should be avoided to promote recovery.
In general, limping that occurs ten years after a tibial plateau fracture may be related to nonunion of the fracture, muscle imbalance, joint stiffness, cartilage damage, or traumatic arthritis. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatments—such as conservative management or medication—under a doctor's guidance. Specific analyses are as follows:
1. Fracture Nonunion
If proper immobilization and rest are not achieved after a fracture, the fracture site may fail to heal completely or heal poorly, leading to knee swelling, deformity, and restricted movement. Long-term poor healing can gradually impair walking function, eventually resulting in limping. This condition is usually accompanied by symptoms such as knee pain and swelling. External fixation devices may be used, along with appropriate rehabilitation exercises, to promote fracture healing.
2. Muscle Imbalance
During fracture recovery, prolonged immobilization and rest may lead to atrophy of surrounding muscles, while other muscle groups become overly tense. This imbalance can disrupt normal knee joint movement, causing gait disturbances. Knee pain is also commonly present. Therefore, during rehabilitation, emphasis should be placed on restoring muscular balance through targeted exercises to improve muscle strength and endurance.
3. Joint Stiffness
Due to prolonged immobilization or poor fracture healing, stiffness of the knee joint may develop, affecting normal gait patterns. This is often accompanied by joint pain and muscle weakness. Treatments may include heat or cold therapy, massage, and range-of-motion exercises to reduce joint stiffness.
4. Cartilage Damage
Tibial plateau fractures may be associated with cartilage injury. Over time, progressive cartilage wear can lead to osteoarthritis, impairing walking ability. Common symptoms include joint pain, swelling, and audible clicking or cracking during joint movement. Medications such as ibuprofen sustained-release capsules, indomethacin capsules, or glucosamine sulfate capsules may be used as directed by a physician.
5. Traumatic Arthritis
Following a tibial plateau fracture, improper reduction of the joint surface or inadequate healing may result in traumatic arthritis, impairing walking and causing limping. This condition typically causes joint pain, stiffness, and swelling. Treatment under medical supervision may include medications such as enteric-coated aspirin tablets, diclofenac sodium sustained-release capsules, or sodium hyaluronate injections.
In daily life, maintaining healthy habits, avoiding smoking, and actively engaging in rehabilitation exercises can support physical recovery.
