Treatment FAQ

what is the treatment for a fractured knee

by Cecelia Lynch Published 2 years ago Updated 1 year ago
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Some simple patellar fractures can be treated by wearing a cast or splint until the bone heals. In most patellar fractures, however, the pieces of bone move out of place when the injury occurs. For these more complicated fractures, surgery is needed to repair the kneecap.

Full Answer

Can you put weight on a fractured knee?

You could start by using a brace and keeping your knee elevated and protected until you can get in to see a sports medicine doctor. However, a pop will almost always bring you down to the ground, and it’s not recommended that you put any weight on it until you can stabilize it.

How do I treat a knee fracture?

  • A pair of crutches to help you get around
  • Medical compresses
  • Ice packs
  • Knee supports
  • A wheelchair

What type of treatment is best for a knee injury?

These include:

  • stress management activities, such as yoga and tai chi
  • acupuncture
  • heat and cold packs for relieving pain and inflammation
  • occupational therapy, which can teach new ways to manage everyday activities
  • cognitive behavioral therapy, which can help you manage pain, discomfort, and the stress of living with a chronic condition

What is the recovery time for a knee ligament injury?

What is the treatment for a knee ligament injury?

  • Self-help treatment. Do no HARM - no Heat, Alcohol, Running or Massage. ...
  • Medication. Paracetamol and codeine: paracetamol is useful to ease pain. ...
  • Physiotherapy. This may be helpful after some knee ligament injuries. ...
  • Knee braces. ...
  • Surgery. ...

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How long does it take to recover from a fractured knee?

Depending on your age and health, it takes about three to six months to recover from a broken kneecap, but very severe patellar injuries may take longer. For a time, you may be advised to avoid climbing stairs, squatting, kneeling or other activities that place strain on the knee joint.

Can knee fracture heal on their own?

A simple knee fracture may heal on its own, although a cast may be necessary to keep the pieces from moving around. A more complex fracture, on the other hand, might require surgery to secure the bones back into place and restore stability to the knee.

What do they do for a fracture in the knee?

Open reduction-internal fixation (ORIF) surgery: The surgeon opens the skin and puts the broken bones back together with metal wires, pins or screws. Broken pieces of bone too small to be fixed are removed. If the kneecap is so severely fractured that it cannot be repaired, it may be partially or totally removed.

Do I need surgery for a fractured knee?

Fractures that require surgery tend to be displaced fractures, meaning the patella has been broken into many different fragments that have separated from each other. In addition, surgery is typically scheduled immediately if any of the bone fragments have broken through the skin, called an open fracture.

Can a knee fracture heal in 4 weeks?

It will take about 4 to 6 weeks or more for the fracture to heal. But it may take much longer for you to fully recover and go back to all your activities. Surgery may be needed to fix severe injuries.

How do I know if my knee injury is serious?

Five signs of a potentially serious knee injury:Your Knee Is Swollen. ... Your Knee Is “Locked” And You Can't Straighten It. ... Your Knee Feels Unstable, or You Felt a Pop. ... You Have Significant Weakness Trying To Straighten Your Knee. ... You Have Significant Difficulty Walking.

How do you know if your knee is fractured or sprained?

If you can walk with soreness, it is unlikely that it is broken. Is there significant swelling? If the injured area experiences immediate and severe swelling, that could be a sign of a broken bone or fracture. However, if the swelling is mild and develops gradually, it is likely a sprain or strain.

Can you walk on a hairline fracture?

Many people continue their regular day-to-day schedules with a stress fracture because the pain isn't unbearable like it is with other fractures. For instance, a hairline fracture in your foot may cause difficulty walking, but not so much so that it alerts you to see Dr. Scheffel.

How can I tell if I have a hairline fracture in my knee?

MRI: The best imaging test for determining hairline fractures is an MRI. This test uses magnets and radio waves to provide images of your bones. An MRI will determine a fracture before an X-ray can. It'll do a better job of determining the type of fracture as well.

What is the best painkiller for knee pain?

Over-the-counter medications — such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) — may help ease knee pain. Some people find relief by rubbing the affected knee with creams containing a numbing agent, such as lidocaine, or capsaicin, the substance that makes chili peppers hot.

Can you walk on a fractured leg?

You usually will not be able to walk on it. If it's a severe fracture, the leg may be an odd shape and the bone may even be poking out of the skin. There may have been a "crack" sound when the leg was broken, and the shock and pain of breaking your leg may cause you to feel faint, dizzy or sick.

What is the most common complication following patellar fracture surgery?

Introduction: The most common major complications following surgical fixation of patellar fractures are infection, nonunion and reoperation.

How to prevent knee fractures?

Kneecap fracture exercises strengthen your leg muscles and improve your range of motion. Choose non-weight-bearing and low-impact exercises to prevent further injury to your knee. Always consult your doctor before beginning a new exercise routine, and stop if you feel any pain.

What causes a fractured kneecap?

Common causes of kneecap fractures include: Direct Trauma: A fractured kneecap commonly results from a fall directly onto the knee, often during a car accident or while playing sports. A fractured knee caused by direct trauma usually results in serious damage to the overlying skin.

What is the most common form of knee fracture?

Fractured knees often result from trauma. The most common form of knee fracture is a patellar fracture. According to several studies, patellar and fractured tibia knee each account for about 1% of all fractures. A patellar fracture is common in active, older people. If you think you’re suffering from a broken kneecap, ...

How to tell if you have a fractured knee?

The signs of a fractured knee typically occur around the joint, but you may experience fractured knee symptoms in the thigh area, as well. Immediate, intense pain with weight-bearing activities. Bruising and swelling around the front of the knee. Trouble doing a straight-leg raise or extending the leg.

Why do you need a knee brace?

A fractured knee brace is crucial to supporting your injured joint and preventing further damage. ( See Product ) If the fractured knee is not out of place, your doctor may recommend wearing a brace until the bone heals.

How long does it take to return to work after knee surgery?

Using a knee brace is the best way to reduce the impact of this joint weakness on your life. If your job involves mostly sitting, you may be able to return to work a week after your injury. If your job involves climbing or extended walking, on the other hand, you may be able to return to work in about 12 weeks.

What is the cartilage on the patella?

The undersides of the patella and the ends of the femur are covered with a smooth substance known as articular cartilage , which helps the bones glide easily against each other as you move your legs. A fractured kneecap is a crack or break in the kneecap (patella). The injury may be a slight crack in the bone.

How many types of surgery are needed to repair a fractured kneecap?

Kneecap fractures account for about 1% of all skeletal injuries. Two types of surgery may be done to repair a fractured kneecap. Once your kneecap has healed, making the muscles around your knee stronger can help avoid further injury.

How to prevent kneecap injury?

Once your kneecap has healed, making the muscles around your knee stronger can help avoid further injury. Playing contact sports or doing other activities that put stress on your knee can increase the risk of another injury to the kneecap.

Why do you need a kneecap when walking?

Though the kneecap is not needed for walking or bending your leg, it makes your muscles more efficient and absorbs much of the stress between the upper and lower portions of the leg.

What causes a broken kneecap?

What causes a fractured kneecap? In most cases, a broken kneecap is caused by a direct blow to the front of the knee from a car accident, sports or a fall onto concrete. Most kneecap fractures occur in people between the ages of 20 and 50.

What percentage of skeletal injuries are fractured kneecaps?

Kneecap fractures account for about 1 percent of all skeletal injuries. The kneecap can fracture in many ways: partially or completely, into a few or into many pieces. Sometimes when the kneecap is fractured, the ligaments or tendons attached to it can be sprained or torn.

What is the patella of the knee?

The kneecap (the patella) is a triangular bone at the front of the knee. Several tendons and ligaments connect to the kneecap, including ones attached to the upper leg (femur) and lower leg (tibia) bones. Though the kneecap is not needed for walking or bending your leg, it makes your muscles more efficient and absorbs much ...

What is the best way to check for fractured kneecap?

X-rays, taken from several angles, are the best way to learn the extent of a fractured kneecap and to check for other injuries. If other injuries are suspected, a computed tomography or magnetic resonance imaging scan may be done.

What You Need to Know

Patella (kneecap) fractures (broken kneecap) are common injuries. About 1% of all broken bones are broken kneecaps.

What is a kneecap fracture?

A kneecap (patella) fracture is a break of the bone located on the front of the knee joint. The patella is a sesamoid bone: a round bone embedded in a tendon that shields and protects a joint. In the case of the patella, ligaments attach it to both the thigh muscles (quadriceps) and the shinbone (tibia).

Types of Kneecap Fractures

The type of patella fracture depends on the mechanism and severity of the injury. It can be affected by your weight and general health.

What causes kneecap fractures?

Patella fractures are injuries often associated with a blow to the knee. Common causes include:

Kneecap Fracture Diagnosis

Your doctor may use some of the following techniques to determine if you have fractured your patella:

Treatment for a Fractured Kneecap

Treatment for patella fracture varies depending on how severe the break is, as well as your age, health and other factors.

Recovery and Complications After a Patella Fracture

The knee is a complex joint that bears weight. Even after treatment, you may experience continued pain and reduced range of motion. Post-traumatic arthritis (thinning of cartilage due to trauma) of the knee is a common complication of patella fractures and other knee injuries.

What is the best medicine for a damaged knee?

Another OTC medication that may be an option after damaging your knee is acetaminophen. This drug, sold under the brand name Tylenol, is commonly taken to relieve the pain caused by meniscus injuries. Like NSAIDs, however, high-level studies showing its benefit in this condition are still lacking. 2

What is the procedure to repair a knee ligament?

Following a complete tear of one of the stabilizing ligaments in the knee, reconstruction surgery is frequently performed to re-create these important structures in your joint. Typically, a graft from another area of the body—like your hamstring or patellar tendon—is utilized, though in some cases one from a cadaver may be needed.

How to treat articular defect?

Recently, stem cell therapy has become more popular as an alternative way to treat articular defects. This intervention involves taking embryonic stem cells, stimulating them to multiply in a lab, and then implanting the cells into the injured area of your knee.

What is the best brace for a patellar fracture?

In addition, a knee extension brace (one that keeps your knee completely straight as you walk) is typically recommended after a patellar (knee cap) fracture. This type of device helps reduce the forces placed on the injured bone in your daily activities.

What to do after a dislocation of knee cap?

Finally, physical therapy is also an option for individuals after a dislocation of their knee cap. While PT can help restore your movement and build strength in your leg, the likelihood that another subluxation will occur is higher than if the injury is addressed surgically. 7.

What is the best medicine for knee pain?

Nonsteroidal anti-inflammatory drugs (NSAIDs) —like ibuprofen or aspirin—are one of the most common classes of medications used after a knee injury. This type of medicine is commonly used for short-term reductions in the pain caused by tears to the collateral (ACL or PCL) or cruciate (MCL or LCL) ligaments in the knee.

How to stop a swollen knee?

Doing so at least three times daily will help combat any inflammation that develops. Apply a snug elastic or ACE bandage to help reduce any fluid around your knee.

What type of surgery is needed to repair a knee injury?

If you choose to have surgery, your options may include: Arthroscopic surgery . Depending on your injury, your doctor may be able to examine and repair your joint damage using a fiber-optic camera and long, narrow tools inserted through just a few small incisions around your knee.

How to heal a knee injury?

Self-care measures for an injured knee include: Rest. Take a break from your normal activities to reduce repetitive strain on your knee, give the injury time to heal and help prevent further damage. A day or two of rest may be all you need for a minor injury. More severe damage is likely to need a longer recovery time.

How to help a knee that hurts?

Heat. You may experience temporary pain relief by applying a heat pack or hot-water bottle to the painful area on your knee. Compression. This helps prevent fluid buildup in damaged tissues and maintains knee alignment and stability. Look for a compression bandage that's lightweight, breathable and self-adhesive.

How to make your knee more stable?

Strengthening the muscles around your knee will make it more stable. Your doctor may recommend physical therapy or different types of strengthening exercises based on the specific condition that is causing your pain.

How to check if knee is swollen?

Check to see how far you can move your lower leg in different directions. Push on or pull the joint to evaluate the integrity of the structures in your knee.

What is the procedure to remove fluid from the knee?

Lab tests. If your doctor suspects an infection or inflammation, you're likely to have blood tests and sometimes a procedure called arthrocentesis, in which a small amount of fluid is removed from within your knee joint with a needle and sent to a laboratory for analysis.

What is the purpose of MRI on knee?

Magnetic resonance imaging (MRI). An MRI uses radio waves and a powerful magnet to create 3D images of the inside of your knee. This test is particularly useful in revealing injuries to soft tissues such as ligaments, tendons, cartilage and muscles.

How to fix a kneecap injury?

Keep your injured leg elevated. Take over-the-counter pain relief medication. If the damage to your kneecap is severe, you should ask your doctor for stronger pain relief medication which they would prescribe for you to take, bearing in mind that you should only take the amount prescribed.

How long does it take for a kneecap fracture to heal?

If you suffered a minor fracture to your kneecap, the healing time typically takes anything from 4 to 6 weeks. However, with the right rehabilitation, you could help speed up a fractured kneecap healing time considerably. If, however, your injury was very severe, you could be off your feet anything from 6 to 12 weeks.

Why is physiotherapy important?

Physio exercises help improve the following when you suffered a broken kneecap: It improves motion in your knee.

What is a broken patellar fracture?

Broken knee cap. When the front part of your knee that acts a shield is damaged, it leaves your knee joint exposed and vulnerable. Broken kneecaps are not only extremely painful but this type of injury is very severe and one that needs to be correctly diagnosed and treated as a matter of urgency.

What type of injury can you sustain to your kneecap?

It is also worth noting that you can sustain various types injuries to your kneecap which are as follows: A stable fracture – this is where a bone moves slightly out of position and remains that way during the healing process.

How long does it take to recover from a broken kneecap?

In the majority of cases, most people who suffer a broken kneecap are able to return to work and carry out normal daily activities in anything from 3 to 6 months but should you have sustained a very severe fracture to your kneecap, it could take even longer for you to make a full recovery.

What happens if you break your kneecap?

When you sustain a broken kneecap, it’s the small bone that is found at the front of your knee that protects your knee that is damaged. It is the type of the injury that happens if you are involved in a road traffic accident when your knee bangs into the dashboard or when you fall heavily onto a hard surface on your knees.

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