Re[2]: [ORT-L] Proximal tibia fracture


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Re[2]: [ORT-L] Proximal tibia fracture

alex61 at gmail
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Aug 8, 2007, 11:40 AM

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Re[2]: [ORT-L] Proximal tibia fracture	Can't Post

Dear Mangal colleagues

Wednesday, August 8, 2007 12:34:25 AM Dr wrote:

> What is this?
> A PCL avulsion with a broad area of articular surface?

The surgery was performed today. Posteromedial approach was used.
When the medial head of the gastrocnemius was elevated the fragment
became accessible. The fragment was 90 degrees rotated on
semitendinosus tendon medially and part of the PCL laterally. The
meniscus was intact. Reduction was not difficult. Fixation by 1/3
tubular plate and a screw. The knee is stable. Plan to start early ROM
excersises. Images attached.
THX to all for their advices and comments!

---
Best regards,
Alexander N. Chelnokov
Ural Scientific Research Institute
of Traumatology and Orthopaedics
7, Bankovsky str. Ekaterinburg 620014 Russia

Attachments:

get_image.jpg (17.8 KB)

get_image1_cr_cr.jpg (7.40 KB)

get_image8.jpg (56.6 KB)

get_image11.jpg (51.6 KB)

jjbrooksmd at gmail
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Aug 8, 2007, 11:56 AM

Post #2 of 2 (248 views)
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Re: Re[2]: [ORT-L] Proximal tibia fracture [In reply to]	Can't Post

Alex,

Looks great. Thanks for the followup, it is very helpful.

I wonder what the mechanism of injury is for a fracture like this? If
hyperflexion/varus then what about the LCL? If pure hyperextension
then what about the ACL? How was the EUA after fixation of this
fracture I wonder? I have trouble imagining this as the only injury
inside that knee.

Jeff

On 8/8/07, alexander chelnokov <alex61@gmail.com> wrote:
> Dear Mangal colleagues
>
> Wednesday, August 8, 2007 12:34:25 AM Dr wrote:
>
> > What is this?
> > A PCL avulsion with a broad area of articular surface?
>
> The surgery was performed today. Posteromedial approach was used.
> When the medial head of the gastrocnemius was elevated the fragment
> became accessible. The fragment was 90 degrees rotated on
> semitendinosus tendon medially and part of the PCL laterally. The
> meniscus was intact. Reduction was not difficult. Fixation by 1/3
> tubular plate and a screw. The knee is stable. Plan to start early ROM
> excersises. Images attached.
> THX to all for their advices and comments!
>
> ---
> Best regards,
> Alexander N. Chelnokov
> Ural Scientific Research Institute
> of Traumatology and Orthopaedics
> 7, Bankovsky str. Ekaterinburg 620014 Russia
>

--
Jeffrey J. Brooks, MD
Orthopaedic Surgery & Sports Medicine Center
1290 Summer Street, #4400
Stamford, CT 06905
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