Most want the wound kept clean and dry until the staples are removed, the author prefers to wait until 48 hours after the staple are removed. Excessive drainage or increasing drainage can be a sign of infection and should be evaluated. Some mild right erythema at the wound edges with some ecchymosis is also not uncommon, as well as some mild redness over the lateral aspect of the patella if a lateral release has been performed. Some joint swelling and an effusion are common for 6-12 weeks after surgery. This is generally the distal 9cm of the femur.
Skeletal traction is an option for extraarticular fractures and for medically unstable patients.
Open reduction internal fixation for the majority. Converted to internal fixation when soft tissue injuries controlled. Pain in the medial midfoot in a young boy is the typical clinical presentation. It is usually worsened with activity and relieved with rest. Clinical outcome is generally good after healing.