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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Non Displaced Tibial Plateau Fracture, Can You Help Me As To What I Should Do ?

I have been diagnosed with a medial tibial plateau nondisplaced fracture and have seen the specialist who recommended an MRI and a return visit in two weeks but my insurance company will not pay for it. I am on vacation and the insurance company will pay for me to fly home but I cannot do that as I drove down. I have been walking on the leg since the injury two weeks ago and do not know if I am doing further damage. The specialist did not advise me to stay off the leg but the insurance company is saying I should not be walking. Can you help me as to what I should be doing. Thank you. I am a 58 year old female in otherwise good health.
Mon, 5 Mar 2012
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Orthopaedic Surgeon,  's  Response
Body weight is borne more on the medial tibial plateau then laterally. An undisplaced fracture in this region runs the risk of getting displaced if you continue to walk on it before it heals. The fact that you have been walking on it already probably means it is a fairly stable fracture, but I'd advice using elbow crutches to offload the leg. So that you're not putting full weight on it. Even better if you can stay off that leg entirely for another 6 weeks. That will give it time to heal up completely; thereafter you can walk on it.
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Anonymous's  Response

These insurance people have always been a hassale. what about undergoing a MRI in the place you are in? Tibia is a weight bearing bone and proper care is needed during its frature so as not to cause any deformity.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Non Displaced Tibial Plateau Fracture, Can You Help Me As To What I Should Do ?

Body weight is borne more on the medial tibial plateau then laterally. An undisplaced fracture in this region runs the risk of getting displaced if you continue to walk on it before it heals. The fact that you have been walking on it already probably means it is a fairly stable fracture, but I d advice using elbow crutches to offload the leg. So that you re not putting full weight on it. Even better if you can stay off that leg entirely for another 6 weeks. That will give it time to heal up completely; thereafter you can walk on it.