Limb Reconstructions > Blog > Clinical Blog > Complex Lower Leg Injury > Part 18 (15 November 2016) – Complex Lower Leg Injury with Significant Injury to the Knee Joint and Extensor Mechanism
Part 18 (15 November 2016) – Complex Lower Leg Injury with Significant Injury to the Knee Joint and Extensor Mechanism

Part 18 – 15 November 2016
CT scan confirmed additional callus formation but full union is yet to happen. It looks that the struts, even the short ones, do not offer enough stability for the fracture to unite. Therefore we changed the struts for threaded bars with hinges with a plan to correct the valgus deformity. I should have changed it earlier but was not expecting that.
CT scan – Coronal reconstruction
















Plan:
- Continue with the planned correction and compression of the non-union
- Maintain weight bearing as tolerated
- Follow up in a week’s time
bone healing CT scan external fixation fracture stabilization limb reconstruction non-union fracture orthopedic surgery post-surgical follow-up tibial alignment valgus deformity weight-bearing recovery

Author: Matija Krkovic
Website: https://www.limbreconstructions.com/
I am a consultant orthopaedic trauma surgeon working at Addenbrooke's hospital, Cambridge University Hospitals NHS Foundation Trust.