Part 11 (19 January 2016) – Complex Lower Leg Injury with Significant Injury to the Knee Joint and Extensor Mechanism

Part 11 – 19 January 2016

It looks that we have completed the last prescription. The patient followed the prescription until noticed that the foot position is what he wanted and than stopped. This is exactly the level of involvement I expect from the patients.

​No problems with pin sites apart from occasionally appearing discharge in the mid fragment (described above) which in my opinion represents low grade infection, which we will keep an eye on. Does not look related to any pin site.

Patient can walk unaided for shorter distances but limited ankle dorsiflexion is still causing problems and forcing him to walk with more externally rotated right foot than he would like to.

Ap and lateral view of the tibia. Distal tibia joint line is now in perfect alignment against the tibial shaft. Much better than before and this has been confirmed clinically. Really impressive how theory works in practice.

Plan:
  • Continue with physio and exercises
  • Walking and weight bearing as tolerated
  • Further follow up in 6 weeks
Author:
I am a consultant orthopaedic trauma surgeon working at Addenbrooke's hospital, Cambridge University Hospitals NHS Foundation Trust.

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