Stiff Painfull knee post trauma

50 year old photographer  with a painful stiff knee 11 year post conservative treated femoral fracture

Options of fusion/ replacement with inherent risk of failure/infection and non union was discussed.  Did not expect this avulsion fracture of patella and tibial

TTO was part of exposure to correct the patella Baja

Had a delayed wound healing issues

 

12 years later walking with 0 to 70 degrees flexion. walking full wt bearing with no pain