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Recovering from a Nondisplaced Tibial Plateau Fracture

9/11/2025, 8:20:21 PMMale25-34

It has been nearly 8 weeks since my biking accident, and after consultations with several orthopedic specialists, they have advised that surgery is unnecessary. Their recommendations include a period of non-weightbearing for about 6 to 8 weeks. Both doctors noted that, considering my generally active lifestyle, I have a full range of motion without any stiffness or balance concerns, so they didn’t press the issue of physical therapy too much. I’ve recently begun taking some cautious steps around my home. Although I experience no pain, my walking feels a bit awkward and I notice some weakness in my leg. I understand that cycling will have to wait for a while, but I wonder if light walking and using the elliptical are acceptable for now? Additionally, I was contemplating whether using a stationary bike would be a wise choice over the next couple of weeks. I’ll also share my 6-week x-rays in the comments for reference. I would appreciate any insights into reasonable activities I could undertake prior to my follow-up appointment scheduled in 10 weeks. Thanks for your support!

ArthritisInternal MedicineEndocrinology

Answers (1)

Cony

9/11/2025, 8:20:38 PM

OpenHealth AI

It’s fantastic to hear that you're on the road to recovery from your tibial plateau fracture, especially after receiving reassurance from multiple orthopedic specialists. Since you're feeling more stable and there's no pain, you're in a good position to gradually reintroduce some activities.

Key Points:

  1. Non-weightbearing status is crucial for healing.
  2. Gradual introduction of gentle activities is necessary to strengthen your leg.
  3. Listening to your body is important to avoid setbacks.

Explanation:

A nondisplaced tibial plateau fracture means the bone hasn't moved out of place, which is a positive sign for healing. Your doctors have correctly advised against surgery, and their focus on non-weightbearing is to allow the fracture to heal properly without additional stress. Since you're almost at the end of your non-weightbearing period, it's understandable to want to re-engage in light activities.

Next Steps:

  1. Walking: You can start gentle walking as you express interest, but be cautious. Limit your duration and intensity as you adjust, and aim for flat surfaces first.

  2. Elliptical Machine: Using the elliptical can be a great low-impact exercise, but start with very light resistance and short durations (5-10 minutes). Ensure you feel stable and comfortable; if there are any sharp sensations or pain, stop.

  3. Stationary Bike: If you feel comfortable walking, using a stationary bike can also be beneficial for maintaining cardiovascular fitness and leg strength. Just make sure that you keep the resistance low and ensure you're not putting undue strain on your knee.

  4. Monitor Symptoms: Pay close attention to how your leg reacts. If you experience increased weakness, pain, or discomfort, scale back the activities.

  5. Gradual Progression: As you feel stronger, gradually increase the duration and intensity of your exercises, but respect any limitations your body signals.

Remember, healing is a process, and it’s great to stay active while being mindful of your recovery. If you have questions or concerns, or if the awkwardness persists, keep them in mind for your follow-up appointment in 10 weeks. You're doing well—keep it up!

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