Irrigate all wounds copiously. Insert an intraarticular suction drain. Close the joint and the iliotibial tract using absorbable sutures. Close the skin and subcutaneous tissue in the routine manner.
Pearl: post-ORIF examination of knee joint stability under anesthesia
With the femur now stable, it is possible to perform a gentle examination of the knee joint to exclude associated ligamentous laxity, but be extremely careful testing with valgus stress.