What to expect from rehabilitation after tibial plateau fracture surgery

Early treatment may focus on swelling control, ankle movement, keeping the knee within its permitted range, and safe transfers. A brace or crutches may be needed, and the surgeon’s weight-bearing instruction is central because the fracture involves the upper surface of the shin bone at the knee.

When healing allows, physiotherapy can progress knee bending and straightening, hip and thigh strength, balance, and walking technique. Later tasks may include stairs, uneven surfaces, endurance, and movements relevant to work or sport. Progress depends on imaging, examination, symptoms, and the repair plan.

Use crutches or another aid as demonstrated and place only the permitted load through the leg. Do not add walking distance, standing time, squats, or resistance because the knee feels better. Complete the home programme, elevate the leg when advised, and keep the incision and brace instructions in view.

At reviews, mention stiffness, swelling after activity, difficulty sleeping, or trouble managing stairs. These details help the team adjust exercise selection and the pace of progression.

Contact the treating team promptly for worsening pain, increasing swelling, wound redness or drainage, fever, new numbness, or a sudden change in foot colour or temperature. Seek urgent help for severe chest pain, sudden breathlessness, or collapse.

Ask exactly how much weight is allowed, when the brace and crutches can change, which knee movements are restricted, and what findings permit progression. Ask how to adapt bathing, stairs, driving, work, and exercise during the protected phase.