Management of Complex Knee Trauma
Fractures Around the Knee
Fractures around the knee, unless fixed perfectly, can significantly increase the chance of developing arthritis later. Treating these injuries requires special expertise and access to the latest techniques. I treat complex tibial plateau, distal femoral, and patellar fractures with the goal of restoring near-normal knee function.
Complex Knee Fracture Care
Fractures involving the tibial plateau, distal femur, and patella need precise alignment and stable fixation to preserve joint function and reduce long-term complications.
Arthroscopy Assisted Fixation
One of my specialties is arthroscopy assisted percutaneous fixation of fractures around the knee, allowing accurate treatment with minimally invasive techniques whenever suitable.
Advanced Stabilisation
Complex comminuted fractures, where the bone breaks into multiple fragments, often require anatomical reduction and stabilisation with two or more specifically chosen titanium plates.
Recovery-Focused Treatment
The objective is not only fracture healing, but also restoring mobility, strength, and knee function so patients can return to daily life with confidence.
Diagnosis and Assessment
Patients of all ages can experience trauma and fractures. These serious injuries may occur during road traffic accidents, falls, sports injuries, and many other situations. Unfortunately, they can have a long-term effect on mobility, functionality, and overall quality of life if not treated properly.
Fractures are usually diagnosed using X-rays. Computed tomography (CT) is highly useful in understanding the three-dimensional anatomy of the fracture fragments, while magnetic resonance imaging (MRI) helps assess the condition of the cartilage and surrounding soft tissues around the knee.
Accurate imaging and careful planning are essential in managing knee fractures, especially when the joint surface is involved or when there are multiple fracture fragments.
Surgical Approach and Rehabilitation
One of my specialties is arthroscopy assisted percutaneous fixation of knee fractures. Complex comminuted fractures require anatomical fixation and stabilisation using two or more specific titanium plates to restore alignment and joint stability as accurately as possible.
Most patients are now immobilised with a knee brace after surgery and only rarely with a plaster cast. Physiotherapy is usually required to improve knee range of motion and rebuild strength after surgery, helping patients regain the best possible function.
In general, most patients return to normalcy within 3 to 6 months after a complex knee injury, depending on the severity of the fracture, the surgery performed, and their rehabilitation progress.
X-ray / CT / MRI
Detailed imaging is used to assess fracture pattern, joint involvement, cartilage, and soft tissues.
Surgical Fixation
Fracture fragments are anatomically aligned and stabilised using modern fixation techniques and titanium implants.
3–6 Month Recovery
With proper rehabilitation, most patients gradually return to normal activity within a few months.