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Tibial Plateau Fracture

 Poster: A snowHead
Poster: A snowHead
Appologies snowHead if there is already a topic running on this!
Anyway got a tibial plateau fracture playing hockey on 2nd October and reconstructive surgery on 12th (pins and plate). I am currently comfortable in a knee brace set at 30 deg flex with partial weight bearing. Is there a realisitic chance of ski-ing in Feb / March 2022? Now, if its a question of fitness I am prepared to do whatever I have to, to build the muscle mass back up but if I am endangering the bone healing then I will have to start managing my expectations! Thoughts anyone?
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
I did similar around the end of June playing football - specialist said MRI indicated there was a fracture in the knee and that the ACL had "completely gone." The specialist did not inspire a lot of confidence to be honest and I wanted to avoid surgery so had a referral for physio who has said that my knee is surprisingly stable for having no ACL (he did say that some people are born without them, have an injury as a child and learn to be without them etc. not sure how much stock I hold in this though).

Anyway long story short about three months on the knee feels pretty good, have been doing strength and balance work (my balance has always been shocking) and I am back running around 5km and starting to go further.

Physio is confident that skiing will be ok and just wants me to push on with the work and said to really focus on ski specific balance and strength exercises. He did say that the knee may react and be sore but unless that became really painful to just manage it based on how I felt.

I'm off to test it with skiing next week in Hemel so hopefully all goes well.

Hope your recovery goes well and you get out skiing
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
@RetroBod, I did mine 1st April 2013 and skied at Hemel in Nov. I then did a week in Val d@isere end Nov/early Dec. The bone will be healed by your trip but after 3 months mostly non or paritial weight bearing (surprised you are at partial already with pins and plate - usually 8 weeks or so) your thigh will look like a deflated pillow, your glute will be shot and you'll have no VMO. You proprioception and balance will be iffy.

I was doing physio/gym 5 days a week as soon as weight bearing. I could barely walk at the end of the week but it was worth it, .My journey on this thread https://snowheads.com/ski-forum/viewtopic.php?t=99642
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Thanks for you replies @Ruddster, and @holidayloverxx, I spoke to a physio this morning whom I hold in great regard and he was hopefull but did say it is very reliant on the pins staying true and the bone graft taking. So lets hope the x-ray on Tuesday bears good news. Next year was meant to be a 2 trip year but I will settle for a gentle, 1.......
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 Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
@holidayloverxx, whoa you beat me hands down on that battle scar!!
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@RetroBod, i don't do anything by halves Laughing
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 Then you can post your own questions or snow reports...
Then you can post your own questions or snow reports...
If you make it I suggest having your skis on a slightly lower release setting as your mend won't have got to 100% strength (or so I was told when I snapped my Tib & Fib).
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 After all it is free Go on u know u want to!
After all it is free Go on u know u want to!
@snowball, yes, I lowered mine and now getting older I can't set them any lower!
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You'll get to see more forums and be part of the best ski club on the net.
Same here. I reckon if I get 2 or 3 pre-releases per holiday that is about right. When I broke my leg in my mid 60s I had my bindings on 8.5. (in flat light I skied into a slight bank and skis stopped dead - one ski came off, one leg snapped.) Since then have them around 6.75. Since I ski hard off-piste I can't have them any lower.
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 Ski the Net with snowHeads
Ski the Net with snowHeads
I did mine in January 2013 and was able to go to the ski dome on the 1st November.. then skiing in Italy in January 2014...took lots of effort.
Suggest you do as much leg raising as you can possibly do..although in the January 2014 I had trouble pushing my boot down into the binding !!! Plus I had a day off due to swelling one day...as I had overdone it previous day...you will need to ski easy..
Once you have the pot off get a strap and use it to bend your knee.. my surgeon said to do it till it makes you cry....takes a lot of effort, I was lucky as wife has a treatment room I used everyday....took a few years to get 100%
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snowHeads are a friendly bunch.
@RetroBod,
Not all tibial plateau fractures are the same. It’s a bit like saying I caught a virus. It will depend on age, the grade of fracture, is it medial, lateral depressed, associated ligament injury, bone health, natural alignment of your leg and others). I think even a minor fracture is going to take 3 to 6 months . There are may in SH who are I’ll give you their account. May be worth a bit more info on the severity of injury
Jonathan Bell
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 And love to help out and answer questions and of course, read each other's snow reports.
And love to help out and answer questions and of course, read each other's snow reports.
...and there we have the answer. Love it when @Jonathan Bell has time to chip in with his massive expertise
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 So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
@Jonathan Bell, and others
Thanks for your comments..
Ok not sure if you were asking for more info but without giving my home addrees and bank account Nos:
Age just over 50
Fit and sporty but currently a bit over-weight. Injury playing hockey. "Like" to run and of course ski as much as Mrs R will allow!!
This was a lateral depressed fracture by 4mm.
Pinned and plated with associated bone graft to fill the gaps.
I know each case is diferent, just trying to manage my expectations. If there is a chance to Ski in March then I will make whatever efforts are needed to do so! I think one of my main questions is will it be bone strength or muscle conditioning that will be the watch out?
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 You know it makes sense.
You know it makes sense.
RetroBod wrote:
@Jonathan Bell, and others
Thanks for your comments..
Ok not sure if you were asking for more info but without giving my home addrees and bank account Nos:
Age just over 50
Fit and sporty but currently a bit over-weight. Injury playing hockey. "Like" to run and of course ski as much as Mrs R will allow!!
This was a lateral depressed fracture by 4mm.
Pinned and plated with associated bone graft to fill the gaps.
I know each case is diferent, just trying to manage my expectations. If there is a chance to Ski in March then I will make whatever efforts are needed to do so! I think one of my main questions is will it be bone strength or muscle conditioning that will be the watch out?


5 months. I’m suspect you may be pushing your luck as it will be very difficult to regain adequate strength in that time with what is a significant injury. You’ll have to check with your surgeon but from what you tell us I’d be very reluctant to encourage skiing. Unfortunately the lateral plateau is a area frequently injured so one awkward fall could undo a lot of good, hard work.
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 Otherwise you'll just go on seeing the one name:
Otherwise you'll just go on seeing the one name:
holidayloverxx wrote:
...and there we have the answer. Love it when @Jonathan Bell has time to chip in with his massive expertise


Thank you , hope you are well and looking forwards to the winter. The winter gets going for me when Idris post the first snow report for Chamonix.
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 Poster: A snowHead
Poster: A snowHead
@Jonathan Bell, gutted, but sound advice there. Might have to seek some winter sun and get fettled for next season!
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
@Jonathan Bell, absolutely! 7 weeks booked snowHead Enjoy Cham
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
Only saw this now. I had a tibial plateau fracture in March 2011 with internal fixation and I was back on snow in December 2011, i.e. 9 months.

I had done about 2 hours of rehab a day but I was still not fully fit. It took most of the season before I felt I was back up to full strength and it wasn't until the following season that I could race again. So 5 months is definitely premature.

A good metric is to test what you can manage with 20 reps on one-legged use of different exercise machines. If you can do a lot better with the uninjured leg as opposed to the injured one, you are not ready for skiing.
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