62 year old lady 5 year post open fracture tibia presently with pain and instabilty. ESR and CRP are normal. An oblique scar(red Line) below the knee healed by primary intention.
Problems .
Medial tibial condyle has collapsed.
Mcl end point felt.
The oblique open wound distal to the tubercle is healed by primary intention and will not interfere with the TKR incision unless osteotomy below
Sclerotic irregular eccentric canal
Options and comments please
Our templated plan is below including an oblique lateral entry to be central distally . The end result is further down. comments please.
We used stimulan with targocid and piperacillin and coated the stem to counter the chances of infection because of the open fracture
ReplyDeleteEffective osteoarthritis treatment can help overcome pain. Osteoarthritis pain management is the key to a pain free life ahead.
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