Fracture at knee joint. Pop treatment.

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.