Changes

These are '''intra-articular fractures''', and therefore repair should follow certain principles:

These are '''intra-articular fractures''', and therefore repair should follow certain principles:

:'''Anatomic reduction and alignement''': avoid steps in the joint surface and exposure of the fracture to synovial fluid

:'''Anatomic reduction and alignement''': avoid steps in the joint surface and exposure of the fracture to synovial fluid

:'''Rigid stabilisation with compression''': to achieve direct bone healing. A '''lag screw''' is the idea method of fixation, as it will compress and provide rigid stability. A second point of fixation such as a K-wire or a second screw will add rotational stability. Rigid fixation also allow '''early limb use''' and helps maintain joint function and range of motion

:'''Rigid stabilisation with compression''': to achieve direct bone healing. A '''lag screw''' is the ideal method of fixation, as it will compress and provide rigid stability. A second point of fixation such as a K-wire or a second screw will add rotational stability. Rigid fixation also allow '''early limb use''' and helps maintain joint function and range of motion

:'''Post-operative management''': cold compresses, good analgesia, exercise restriction and physiotherapy

:'''Post-operative management''': cold compresses, good analgesia, exercise restriction and physiotherapy

:'''Avoid prolonged immobilisation''' of the joint.

:'''Avoid prolonged immobilisation''' of the joint.

Post-traumatic '''osteoarthritis''' is inevitable even with a perfect repair. Areas of damage tend to be replaced by biomechanically inferior fibrocartilage.

Post-traumatic '''[[osteoarthritis]]''' is inevitable even with a perfect repair. Areas of damage tend to be replaced by biomechanically inferior fibrocartilage.