Reconstruction of Tibial Plateau Fracture Malunion in the Setting of a Large Cartilage Defect in an Adolescent
| Autor: | Oussama Mansour, Ryan Bou Raad, Ali A Hellani, Ali Alayane, Mohamad Moussa, Hussein Zreik |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
musculoskeletal diseases Adolescent Knee Joint Radiography medicine.medical_treatment Osteotomy Tibial plateau fracture medicine Humans Orthopedics and Sports Medicine Malunion Fractures Malunited Fixation (histology) Orthodontics Tibia biology business.industry Cartilage musculoskeletal system medicine.disease biology.organism_classification Tibial Fractures Valgus medicine.anatomical_structure Knee pain Surgery medicine.symptom business |
| Zdroj: | JBJS Case Connector. 11 |
| ISSN: | 2160-3251 |
| DOI: | 10.2106/jbjs.cc.20.00868 |
| Popis: | CASE An 18-year-old adolescent boy presented with knee pain and stiffness secondary to tibial plateau valgus malunion and osteochondral defect, 8 months after initial injury/fixation. We opted for a novel technique that reconstructs the convex lateral tibial plateau by using osteotomy and an osteochondral autograft harvested from the lateral aspect of the ipsilateral femoral condyle. CONCLUSION The reported novel reconstruction technique is inexpensive, achievable with routine techniques, and demonstrated a favorable short-term outcome. At 3 years of follow-up, the patient had excellent, asymptomatic, left knee mobility and function with radiographic evidence of mild posttraumatic arthritis despite normal knee alignment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|