Management of a post fracture complicated leg deformity with a 30° tibial slope

Knee
Complication
Osteotomy
Management of a post fracture complicated leg deformity with a 30° tibial slope

In this clinical case, discover which therapeutic option the team chose to treat a tibia fracture complicated by leg deformity in a 54-year-old active patient, where prosthetic replacement was nearly impossible due to the severity of the deformity.

Matthieu Ollivier
Marseille, FRANCE
IML

Matthieu Ollivier is currently a Professor of Orthopaedic Surgery at the Institute of Movement and Locomotion (Chairman: Pr Jean-Noel Argenson) at Aix-Marseille University Hospital, in Marseille, France. His clinical practice is dedicated to knee-related procedures, with a special focus on sports injuries (cartilage, meniscus, ligaments) and osteotomies. He is engaged in an academic field at Aix-Marseille University, teaching medical students, interns, orthopedic residents and fellows.

Thibaut Lucena
Pierre Paul Riquet Hospital, Toulouse, France
Orthopaedic surgeon
Part one
Clinical presentation
  • 54 y.o. man  
  • Suffering of flessum and leg deformity
  • Extension : -20° / flexion : 70°   
  • No infection signs
  • No skin suffering  
  • Medical history:   
    - 8 months ago : proximal tibia fracture, direct trauma 
    - Hit by snowboarder meanwhile skiing, 
    - Immediate surgery in another center 

Post traumatic scan

Post traumatic scan

Clinical presentation

8 Months xrays

Knee stable but stiff walk without crusches

8 Months xrays Knee stable but stiff walk without crusches
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