Knee Case 3 ED Management

Indications for surgery include:

• disruption of the extensor mechanism
• displaced (>3mm) transverse fractures
• skin compromise

The orthopedist should be contacted to arrange for surgery.

Non-operative fractures:

• are minimally displaced (2-3mm)
• have minimal articular surface disruption (2-3mm)
• have an intact extensor mechanism

These can be placed in a knee immobilizer or above-knee cast with the knee in full extension for 4-6 weeks. The patient should be made non-weightbearing and referred to see orthopedics in 1 week.