ABSTRACT

This chapter presents a case study of a 75-year-old lady who is presented to the Urgent Treatment Center (UTC) with knee pain. This lady has a tibial plateau fracture. Assessment of the patient should follow standard trauma guidelines, and a rapid primary survey should be performed to rule out any occult injury. The medical students and junior doctors should carefully examine the knee joint and the joint above (hip) and below (ankle). Tibial plateau fractures tend to have a bimodal distribution with age. In younger patients, they are often the result of high kinetic energy transfers. Emergency Department (ED) management should include adequate analgesia, immobilisation of the limb in an above-knee plaster of paris backslab, elevation and referral to the orthopaedic team. Care packages and social assessments may be needed for successful and safe discharge of the patients post definitive management.