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9Wound closure, assessment of alignment and knee stability

Wound closure

Before wound closure, perform thorough irrigation of the knee wound, in order to minimize the risk of infection and to remove any debris from the joint.
End the procedure with the closure of the deep tissues and the skin.

Assessment of alignment and knee stability
Before the patient is moved from the fracture table, observe rotation of the leg clinically and compare it to the contralateral side.
With the femur now stable, it is possible to perform a thorough examination of the knee joint, in order to exclude associated ligamentous laxity.