- Indications:
- for undisplaced vertical, peripheral, comminuted, or even transverse frxs associated with 2 mm or less of step-off incongruity in
articular surface, and/or less than 3 mm of fragment separation;
- usually, the extensor mechanism is not totally disrupted at the time of such fractures;
- Treatment:
- immobilization in a cylinder or an above-the-knee cast with the knee in extension has provided successful treatment;
- 4-6 weeks of immobilization followed by gentle but progressive ROM and, later, quadriceps-strengthening exercises produces good
results.
- while few degrees of extreme flexion are frequently lost, over-all result is a satisfied patient with little or no discomfort or disability