Q: I met with an accident two months ago and had to undergo an operation below my left knee joint (Plateau fracture of the left upper hat tibial area). The plaster has been removed now and the doctor had advised me to wait to put pressure on the leg and start walking. I want to go for physiotherapy to regain to my normal movement of leg. Please advise.

A:Although severe fractures often are repaired surgically, both operatively and non operatively treated fractures are at risk of developing posttraumatic osteoarthritis. This is because of ligamentous injuries with resultant instability as well as articular discongruities, biomechanical alteration of normal compressive forces, and cartilage damage. All patients must be monitored closely for potential complications. At the time of discharge after initial care of the fracture, the patient should be made aware of all of the follow-up requirements specified by the treating physician. The need for physiotherapy depends on the nature of the injury and the motivation, education level, and abilities of the patient. Physiotherapists aid in helping patients to recover from joint stiffness and to maintain and restore range of movement. They provide appropriate guidance with respect to exercises and activities that aid in the healing process.