A force over tibial plateau with axial loading and valgus or varus vector can
be responsible of tibial plateau fracture. The principles of management include joint
congruity, joint stability, and axial alignment and the “personality” of the fracture. It is
crucial to recognize, assess and monitor soft tissue swelling. In the present era, the
indications for conservative management in form of traction or cast bracing are very
few. Anatomical reduction is best achieved with operative modalities, either with
closed or open techniques. However, non-operative modalities do hold their importance
in certain situations like incomplete or undisplaced fractures, stable injuries, those with
osteoporosis, and in patients who are not fit for surgery due to their medical
comorbidities. Secondary articular cartilage injuries can be managed depending upon
lesion size and activity demands, with simultaneous correction of malalignment and
ligament instability wherever needed.
Keywords: Cartilage, Cast, Conservative, Injuries, Management, Nonoperative,
Tibial plateau fractures.
