The immediate treatment of unstable tibial plateau fracture is:
(Internal fixation with plate & screw) (720-ApIey's 8th)* Unstable fracture of Tibial plateau - In younger patient, and more so those with a central depression of more than 5 mm, open reduction with elevation of the plateau and internal fixation with a buttress plate is preferred.* Stable fracture - depression is slight (less than 5 mm), if the patient is old and frail or osteoporotic the fracture is treated with closed reduction (Skeletal traction for 3-4 weeks and then hinged cast brace for another 6 weeks.
Internal fixation with plate & screw
Internal fixation with nail
External fixator
Complete bed rest
Injuries Around the Thigh & Knee