any fracture around the joint should be fixed as early as possible preferably operative.Otherwise treating these fractures in plaster will lead to stiffness of joint n muscle wasting
Dr Pankaj Kumar
Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
Hams Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. repeat 10 times, twice a day.
Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the knee against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.
Good morning, this is Dr Hitin Mathur, orhopaedic surgeon at Fortis C Doc Hospital, Kalkaji, New Delhi and Apollo hospital, Noida. First and foremost this Injury needs to be seen not just for its bony injury but also the soft tissue injury associated. Secondly the x ray seems to indicate both a fracture of the femoral condyle and the tibia bone which increases the risk of osteoarthritis in the knee if treated conservatively and not achieving perfect reduction. Thirdly I would definitely do a 3D CT scan to evaluate the full extent of the fracture for better planning of fixation.last but not the least treating this injury in a plaster will need prolonged immobilisation which will increase the long term stiffness in the knee- with good operative fixation, knee can be mobilised from 2-3rd day, decreasing the incidence of knee stiffness. MRi of the knee may also be warranted to assess the soft tissue injury inside the knee which may also need reconstruction.
Operative treatment preferable as it is an intraarticular fracture . Dr prathmesh jain . Knee and shoulder surgeon advance knee and shoulder hospital . Ahmedabad
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