PMC6727454_01
Clinical picture at the time of presentation to the outpatient department.
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F1
As patient was not relieved of his symptoms following native splinting, patient came to Sri Ramachandra Medical College Porur for further management With complaints of pain, deformity, and unable to bear weight on left leg (Fig.1).
Radiographs at presentation.
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F2
Radiographs showed comminuted malunited proximal tibia with depression over the medial condyle 1-2 cm and fracture line extending to the lateral and posterior condyle of tibia (Fig.2).
CT Scan with three-dimensional reconstruction.
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F3
Computed tomography CT of the knee revealed that the whole of the medial condyle was depressed by more than >2 cm and the fracture line was extended into the medial and posterior condyle. (Figs. 3 and 4)).
Computed tomography Scanogram.
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F4
Computed tomography CT of the knee revealed that the whole of the medial condyle was depressed by more than >2 cm and the fracture line was extended into the medial and posterior condyle. (Figs. 3 and 4)).
Intraoperative picture showing depressed medial plateau.
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F5
The depressed medial condyle was raised and fixed with the help of of cannulated cancellous screw from the medial aspect of the tibia. (Figs. 5 and 6).
Intraoperative picture showing depressed medial plateau fixed with a cannulated cancellous screw.
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F6
The depressed medial condyle was raised and fixed with the help of of cannulated cancellous screw from the medial aspect of the tibia. (Figs. 5 and 6).
Post-operative radiographs.
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F7
Six 6 weeks postoperatively (Fig. 7), the patient could walk freely without a stick and had no pain.