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Fractures and dislocations about the knee are usually the result of high-impact vehicular trauma in the younger patient or low-impact injuries in the elderly patient, most commonly from a fall. Because of the frequent intra-articular extent of the fracture and the proximity of the fracture to the joint, stiffness and posttraumatic osteoarthritis of the knee are common sequelae. A variety of different nonsurgical and surgical treatments may be considered, depending on the fracture pattern, the patient's age and medical condition, and associated injuries. This article discusses the most significant developments in this area that have occurred in the past year.