Immobilization

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.

For aftercare and rehabilitation following nonoperative treatment, please refer to your local protocol.

Pay attention to the neurovascular status, avoid compartment syndrome.