Before/After Image

Schatzkar’s type 5 fractures


  • Pain if weight bearing or pressure applied over the injured area
  • Limited movement
  • Deformity and swelling around the knee
  • A feeling of stiffness around the knee

Case Presentation

The patient is a 28-year-old health-conscious bank employee who enjoys playing football during weekends. During one such weekend, he was unfortunately tackled in an aggressive manner which landed a kick directly to his left knee. 

The patient recalls falling down with intense pain in his knee joint; his knee started swelling very soon after the injury. In the following days, the pain only worsened, and he was unable to put any weight on the injured leg. He was then referred to our Wholistic Care Centre for consultation with Dr. Saurabh Talekar.


Proximal tibia fractures are common, and Schatzkar’s type 5 fractures are challenging to fix. Hence performing a CT scan is a standard protocol for planning the surgery, and MRI scans are typically not performed.  However, we performed the MRI scan due to high clinical suspicion, and a medial meniscal tear was found, which was treated in the same sitting through Arthroscopy. The ORIF and meniscal repair was hence done in the same setting.


Before the surgery, the highly-skilled Dr. Saurabh Talekar discussed the risks, benefits, and potential complications with the patient and his family. The patient was given spinal anaesthesia during the surgery which avoids complications of General Anaesthesia and at the same time provides Adequate anaesthesia. During the operation, Dr. Saurabh Talekar and his team carefully monitored the patient’s vital signs, like his blood pressure and heart rate.


Dr. Talekar first cleaned the injured area and made an incision through the skin and muscle. Then he brought the pieces of the patients’ tibia back into alignment. Next, he secured the pieces of the tibia to each other (known as fixation). Fixation is a process where the surgeon uses tools like nails, screws, metal plates, wires, or pins. The Meniscus was repaired through a minimally invasive approach without entering the joint. The procedure was performed by visualisation through an arthroscope into the joint.

Physical Examination & Tests

  • X-rays
  • CT Scan
  • MRI scan

Post-Operative Assessment

The patient is undergoing rehabilitation. The knee's ROM (range of motion) is pain-free in the early postoperative period.


The patient says, “It is difficult to explain the agony and excruciating pain that I went through due to my injury. I thought it would heal like the previous minor knocks I have had while playing football. However, the swelling and pain only worsened to a point where I dreaded even standing up and putting the slightest weight on the injured leg. The patient added that the pain and his immobility had been causing him periods of sadness and helplessness until he met Dr. Saurabh Talekar. “Meeting Dr. Talekar was the best thing that happened after my injury. He is a compassionate surgeon who guided my family and me through the entire process. I'm still recovering and I am ever so grateful to him for giving me hope and helping me get back on my feet again

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