Part 13 (11 April 2016) – Complex Lower Leg Injury with Significant Injury to the Knee Joint and Extensor Mechanism
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Part 13 – 11 April 2016
No major problems. All pin sites clean, no irritation. Possible sinus at the level of the middle third of the anterior tibia is still quiet. Inflammation markers still inside acceptable limits (CRP 5, ESR 20). At the moment no major concern.
Patient is walking with the crutches but get pain from the knee. I am certainly not surprised about his knee pain. interesting part is that the extensor mechanism is still intact and working, despite broken wire and not augmentation ever performed for the patellar tendon. Lesson to learn?
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Fracture is healing nicely with good regenerate. In my opinion the regenerate is still not strong enough to support the leg, when fracture is probably sufficiently healed. Regenerate will be strong enough when there will be no more visible line from the corticotmy (new knowledge?).
Plan:
- Continue with the treatment and further follow up in 8 weeks
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Author: Matija Krkovic
Website: https://www.limbreconstructions.com/