Can comprehensive treatment be considered for severe tibial plateau fractures?

Generally, in severe cases of tibial plateau fractures, comprehensive treatment may be considered, as this approach allows for more thorough management of the injury and promotes recovery. The detailed analysis is as follows:

In severe tibial plateau fractures, complications such as articular surface depression, ligament damage, or soft tissue injury are common, making it difficult to achieve effective repair with a single treatment method. Comprehensive treatment typically combines surgical reduction and internal fixation with postoperative rehabilitation exercises. Surgery helps restore the smoothness of the joint surface and stabilize the fractured area, while postoperative rehabilitation aids in restoring knee joint mobility, strengthening muscles, and reducing complications such as postoperative adhesions. Compared to single-modality treatments, comprehensive therapy is more beneficial for overall recovery. However, the specific treatment plan must be tailored according to individual patient factors such as injury severity and physical condition—for example, elderly patients may require adjustments in surgical techniques and rehabilitation intensity.

During treatment, it is important to protect the affected limb and avoid premature weight-bearing. Adequate nutritional intake should also be ensured, including sufficient protein and calcium, to support fracture healing and promote overall recovery.