Abstract
Introduction: Road traffic accidents (RTA) have remained an ongoing endemic problem over the years and a serious economic and medical-social burden for many countries around the world. Among the most complex and frequent fractures inside the joint is tibial plateau fractures. Such fractures are linked to adverse results, because of reasons such as the damage of cartilage but also soft tissue envelopes, complications like compartment syndrome, postoperative infection, knee dysfunction or rigidity, or even post-traumatic osteoarthritis.
 Case Description: An 18-year-old young girl complaining of pain and inability to perform activities of daily living was referred to physiotherapy after being operated with external fixator (LCP) and skin grafting. Locking compressive plate was placed at lateral side of leg with 2 nails near head of fibula and 2 nails near lateral malleolus. Grafted skin was seen at anterior aspect of knee and anterior to medial aspect to leg. Patient was mostly suffering from pain in right leg and knee with intensity 7/10 at rest and 9/10 slight movement and swelling over right lower limb and patient complained of limited mobility and unable to walk.
 Discussion: The significance of early mobilisation and range of knee joint motion exercises has been apparent in literature in the past 40 years. From low-intensity activities to progressive strengthening and partial to complete weight with walkers, recovery objectives were devised. Good grafting rates can be achieved with fast ambulation leading low extremity skin grafting operations, which runs counter to conventional lessons in post-operative skin grafting after lower extremity
Highlights
Road traffic accidents (RTA) have remained an ongoing endemic problem over the years and a serious economic and medical-social burden for many countries around the world
The two main age ranges exist, first cohort includes younger men suffering from heavy impact trauma, whereas second is older women suffering from limited injury [4]. Such fractures are linked to adverse results, because of reasons such as the damage of cartilage and soft tissue envelopes, complications like compartment syndrome, postoperative infection, knee dysfunction or rigidity, or even post-traumatic osteoarthritis
An 18-year-old young girl complaining of pain and inability to perform activities of daily living was referred to physiotherapy after being operated with external fixator (LCP) and skin grafting
Summary
The rise in population and automobiles, results in increased amount of road injury. Road traffic accidents (RTA) have remained an ongoing endemic problem over the years and a serious economic and medical-social burden for many countries around the world [1]. The two main age ranges exist, first cohort includes younger men suffering from heavy impact trauma, whereas second is older women suffering from limited injury [4] Such fractures are linked to adverse results, because of reasons such as the damage of cartilage and soft tissue envelopes, complications like compartment syndrome, postoperative infection, knee dysfunction or rigidity, or even post-traumatic osteoarthritis. As a result, they do pose surgical issues but will have significant adverse impacts on quality of life and well-being functionality [3,5] In certain heavy breaks with severe comminution as well as osteoporous fractures, lock compression plate were suggested. Larger wounds need either a split skin graft or flap patch for skin cover [9]
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