63 yearold lady with post traumatic arthritis- 5 years post open type 2 fracture tibia
treated primarly by illizaro and screw presented with pain and 0 10 to 30 degress rom. No sinuses. ESR and CRP normal.. Multiple scars on the proximal tibia as sequelae of open fracture. Never had sinuses postop. Piperacillin- tazobact with CAPO4 pellets were introduced into tibial canal to combat bugs if any and a fractional lengthening of quads was done.to obtain 100 degrees flexion.
We used an offset stem. Long stem was avoided so as to avoid further osteotomy inscisions as well as to avoid exposing the luscent ares of tibia.
Introp frosen section and leucocyte esterase tests were negative.
Nice post! I just came back from the orthopedics in oklahoma city and they told me that I am going to have to have surgery on my knee soon to correct some things from years of playing soccer. Thank you for sharing this with us!
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