Part 17 (4 October 2016) – Complex Lower Leg Injury with Significant Injury to the Knee Joint and Extensor Mechanism

Part 17 – 4 October 2016

Pt is still walking with crutches, shorter distances unaided. No further changes in lower leg alignment. At the moment there is 10-14 deg of valgus. Borderline deformity but we will accept it for now.

Pin sites still clean, no sign of instability.

X-rays show further progress towards union in the proximal fracture when regenerate is well matured.

X-rays also show that fibula has been left in place and did not travel together with the distal tibia. I don’t know why I did not spot it earlier. Surprisingly there is no instability of the ankle joint neither any pain coming from the ankle joint.

Plan:
  • CT scan requested
  • Follow up in six weeks
Author:
I am a consultant orthopaedic trauma surgeon working at Addenbrooke's hospital, Cambridge University Hospitals NHS Foundation Trust.

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