The mobilisation of knee is started immediately from the second day. Weight bearing is permitted as in any other interlocked nailing. That is, Toe touch to start with and within four days, partial to in another two weeks, full weight bearing. Of course that is assuming that the correct size nail has been used. Up to 70 kg body weight, 11no will be good enough and 12mm if more.Usually at the 1st followup, at 6 weeks time, they have full flexion..I
have seen a few surgeons putting in a drain, but I have not found it unnecessary. There has never been any effusion needing active treatment.
Enclosing a recent intraop picture
V M Iyer
. Iyer Orthopaedic Centre,
103,Railway lines Solapur.413001.
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