Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8964702 | The Knee | 2018 | 7 Pages |
Abstract
Malunited tibial plateau fractures are a surgical challenge. We report a case of a malunion following a Schatzker V tibial plateau fracture with a biplanar deformity of the medial hemi-plateau. This was treated with an intra-articular osteotomy and biplanar restoration of the medial hemi-plateau using patient-specific guides and 3-dimensional planning based on computed tomography (CT) images. The mechanical axis was paradoxically preserved and the lateral compartment showed evidence of overload and degeneration secondary to a malunited tibial spine bone block providing varus/valgus constraint. This was arthroscopically resected at the same sitting. The tibial plateau was restored to the desirable height with a vast improvement in function and pain levels.
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Authors
Joseph Pagkalos, Robert Molloy, Martyn Snow,