What Are Knee Fractures?

A knee fracture refers to a break or crack in one of the bones that form the knee joint. This can involve the ends of the femur (thigh bone), the top of the tibia (shin bone), or the kneecap (patella). These injuries range from small, hairline fractures to more complex breaks that affect the stability or function of the joint.

Causes and Risk Factors

Knee fractures often result from high-impact trauma, such as:

  • Falls (especially onto a bent knee)

  • Auto accidents

  • Sports injuries (e.g., collisions or direct blows)

  • Osteoporosis or other conditions weakening bone

Risk increases with age, poor bone health, and if the knee is already compromised by previous injury or surgery.

Types of Knee Fractures

Some of the common types include:

  • Patellar fractures — breaks in the kneecap

  • Tibial plateau fractures — involving the top surface of the tibia, where it joins the femur

  • Distal femur fractures — breaks in the lower end of the femur near the knee

  • Tibial spine (intercondylar eminence) fractures — involving the attachment point for ligaments inside the knee

Each type affects knee integrity differently, and some can disrupt alignment or ligament function.

Symptoms

Typical signs and symptoms of a knee fracture may include:

  • Immediate, severe pain at the fracture site

  • Swelling and bruising

  • Inability to bear weight or walk

  • Deformity, such as a visibly displaced bone

  • Limited range of motion

  • A feeling of instability in the joint

Diagnosis

To accurately assess the fracture, Dr. Dold uses:

  • Physical examination to check swelling, deformity, and range of motion

  • X-rays to identify the location, direction, and displacement of the fracture

  • CT scans or MRI in more complex cases (e.g., to assess involvement of cartilage, ligaments, or joint surface)

Treatment Options

The treatment for knee fractures depends on factors such as the fracture type, how displaced the bone fragments are, overall knee alignment, and patient health. Possible treatment paths include:

  • Non-operative management:
    When fracture fragments are well aligned and stable, treatment might consist of immobilization (brace or cast), rest, ice, elevation, and restricted weight bearing. Physical therapy plays a key role once healing begins.

  • Operative intervention:
    In cases of severely displaced fractures, instability, or involvement of the joint surface, surgery may be required. Surgical options may include internal fixation (plates, screws), sometimes combined with ligament repair if needed, to restore alignment and knee function.

Recovery & Rehabilitation

Recovery from a knee fracture involves several phases:

  1. Initial healing: Immobilization and protection of the bone, pain and swelling control.

  2. Regaining range of motion: Under guidance, gentle motion is introduced once it’s safe.

  3. Restoring strength and stability: Physical therapy to rebuild muscles around the knee, improve balance, and gradually resume weight-bearing.

  4. Return to activities: Over weeks to months, depending on severity, surgical requirements, and patient compliance.

It’s essential to follow post-treatment instructions carefully. Healing times vary but typically span several weeks to months. Alignment, joint surface restoration, and avoiding stiffness are key for optimal outcomes.

Why Choose Dr. Andrew Dold, MD

At DoldMD, Dr. Andrew Dold brings:

  • Deep experience in treating both simple and complex knee fractures

  • State-of-the-art imaging and surgical planning

  • A patient-centered approach that emphasizes preserving joint function and minimizing surgical impact

  • Strong focus on rehabilitation and long-term recovery

When to Seek Care Immediately

You should contact Dr. Dold or the emergency department if you experience:

  • Severe pain, deformity, or inability to move or bear weight

  • Signs of open fractures (bone piercing skin)

  • Intense swelling or numbness in the leg or foot

  • Sudden changes in skin color or temperature, which may indicate a compromised blood supply

Frequently Asked Questions (FAQs)

How long does healing take?
Healing depends on the fracture type, your age, overall health, and whether surgery was needed. Generally, it may take 6-12 weeks to see significant healing, but full strength and range of motion can take several more months.

Will I need surgery?
Not always. Many fractures can be managed non-surgically if aligned and stable. Surgery is reserved for displaced or unstable fractures, or when joint surface integrity is compromised.

What outcomes can I expect?
With proper diagnosis, treatment, and physical therapy, most patients recover good knee function. Dr. Dold’s goal is to restore stability, mobility, and reduce pain so patients can return to daily activities.

Book an Appointment Today

If you believe you may have fractured your knee, don’t wait. Early evaluation is crucial for the best outcome.
Contact Dr. Andrew Dold, MD in Frisco, TX to schedule an appointment. Call our office or use the online booking form. Let us help you take the first step toward healing and getting back on your feet.