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In the longer term, the knee may not regain full movement, pain may persist and there is an increased likelihood of osteoarthritis of the knee. [7] If there is an associated open wound as in an open fracture , complications also include risk of infection, inability of the broken bones to reunite and osteonecrosis .
Conservative treatment of isolated medial knee injuries (grades I-III) begins with controlling swelling and protecting the knee. Swelling is managed well with rest, ice, elevation, and compression wraps. [22] Protection can be performed using a hinged brace that stabilizes against varus and valgus stress but allows full flexion and extension.
The knee anatomy provides insight into predicting why certain fracture patterns occur more often than others. The medial plateau is larger and significantly stronger than the lateral plateau. Also, there is a natural valgus or outward angulation alignment to the limb which coupled with the often valgus or outwardly angulating force on impact ...
In medicine, the Ilizarov apparatus is a type of external fixation apparatus used in orthopedic surgery to lengthen or to reshape the damaged bones of an arm or a leg; used as a limb-sparing technique for treating complex fractures and open bone fractures; and used to treat an infected non-union of bones, which cannot be surgically resolved.
Radiography to identify possible fractures after a knee injury. A bone fracture may be diagnosed based on the history given and the physical examination performed. Radiographic imaging often is performed to confirm the diagnosis. Under certain circumstances, radiographic examination of the nearby joints is indicated in order to exclude ...
Complications may include fractures, infections, or blood clots. In children, this surgery can be safely performed in open growth plates. Formerly, children were placed in a brace after the procedure, but this practice increased the risk of more dislocations before skeletal maturity and is no longer used.
Pellegrini-Stieda syndrome is an insult to the medial collateral ligament (MCL), causing damage and acute inflammation that sets into motion and delays ossification. [2] This insult is described as a macro trauma causing valgus stress with disruption of the MCL fibers.
In February 2008, Saris et al. published a large-scale study claiming that CCI results in better structural repair for symptomatic cartilage defects of the knee than microfracture surgery. According to the study, one year after treatment, the regenerated tissue associated with CCI is of better quality than that of microfracture surgery. [15]