Aftercare following lag screw fixation of avulsion fractures
Gentle range of motion in a hinged-knee brace is begun early and continued for 6 weeks.
Early progressive partial weight bearing (touch down, or 10-15 kg) may be performed, with the aid of crutches, or a walker.
Wound healing should be assessed regularly within the first two weeks. Subsequently 2, 6 and 12 week follow-ups are usually made. A longer period of follow-up may be required if the fracture healing is delayed.
Implant removal is not essential, unless there are implant-related symptoms after fracture healing.
Consideration should be given to thrombo-embolic prophylaxis, according to local treatment guidelines.