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FAQs of Fractures Around the Knee

Common Questions & Expert Answers

Frequently
Asked Questions

A knee fracture refers to a break in any of the bones forming the knee joint, including the patella (kneecap), distal femur (lower thigh bone), tibial plateau (upper shin bone), or tibial spine. It can result from trauma, falls, accidents, or underlying bone conditions like osteoporosis.

Patellar Fracture: Break in the kneecap due to a fall or direct impact.
Distal Femur Fracture: Fracture in the lower thigh bone, often seen in elderly individuals.
Tibial Plateau Fracture: Break in the upper shin bone, affecting knee stability.
Tibial Spine Fracture: Occurs at the ACL insertion site, common in young athletes.
Fractures After Total Knee Replacement: Periprosthetic fractures around an implant.

🔸 High-impact injuries: Car accidents, falls, or sports trauma.
🔸 Osteoporosis: Weakened bones that break easily.
🔸 Overuse injuries: Stress fractures from repetitive strain.
🔸 Post-surgical complications: Fractures around knee implants.
🔸 Direct impact: A strong blow to the knee.

✔ Severe pain & swelling around the knee.
Inability to walk or bear weight.
Deformity or misalignment of the knee.
Bruising or open wounds (in case of open fractures).
Grinding or clicking sound in the knee joint.

🔎 Physical Examination: Checking knee pain, swelling, and mobility.
🔎 X-rays: Identifying the type and severity of the fracture.
🔎 CT Scan: Detailed imaging for complex fractures.
🔎 MRI Scan: Assesses ligament and soft tissue damage.

❌ No, not all fractures require surgery.
Stable fractures can heal with a cast, brace, or splint.
Displaced or severe fractures often require surgical fixation with screws, plates, or rods.
Fractures around implants may require revision knee replacement.

⏳ Healing time depends on the severity of the fracture:
🔹 Minor fractures: 6-8 weeks with immobilization.
🔹 Surgical cases: 3-6 months for full recovery.
🔹 Severe cases: Up to 12 months for complete healing.

🚶‍♂️ It depends on the severity.
🔹 In minor fractures, patients can walk with a brace or crutches.
🔹 Severe fractures require a period of non-weight-bearing before starting rehabilitation.
🔹 Surgical cases may require physiotherapy to regain movement.

⚠️ Potential risks include:
🔴 Delayed healing or nonunion.
🔴 Knee stiffness & reduced motion.
🔴 Post-traumatic arthritis.
🔴 Implant failure (for previously replaced knees).

🛡️ Prevention Tips:
Strengthen Bones: Take calcium & vitamin D.
Use Knee Protection: Wear knee braces during sports.
Prevent Falls: Install anti-slip mats & use assistive devices.
Regular Bone Check-ups: Detect weak bones early.