Michael Huo, Michael Leslie, Iain McFadyen
In the case of a medically infirm patient, the fracture is best managed with protection and immobilization. Prefabricated hinged knee braces or knee immobilizers are typically used when available.
A cylinder or a long leg cast is also an option.
A knee immobilizer can be applied to all the fractures as a means of temporary splinting.
Angular splinting of the extremity allowing early knee motion.
As a means of definitive splinting, allowing early motion.
Never immobilize in plaster. If protection is required to prevent displacement, use a hinged fracture brace to permit early motion.
Axial splinting, allowing knee motion.
If braces are not available, a cylinder or long leg cast can be employed.
One year after total knee replacement, the patient sustained a minimally displaced medial epicondyle fracture that was clinically stable. He was treated with bracing and weight-bearing as tolerated.
Healing callus at 6 weeks after fracture.
The patient had regained motion.
For aftercare and rehabilitation following nonoperative treatment, please refer to your local protocol.
Pay attention to the neurovascular status, avoid compartment syndrome.