Does Arthroscopic assisted reduction has any role and what are the long term outcomes of such injuries
I THINK that the patient need bone elevation +bone graft +internal fixation . this can be arthroscopic guided
2 stage surgery
1st arthroscopy guided reconstruction of lateral tibial articular surface
2nd step arthroscopic ligament reconstruction
Unicondylar replacement is my choice. Other reconstructions are problematic because of the duration of trauma.
My recommendation is immediate ORIF. It is interesting that the prior MD did NOT treat. Yet, I observe the same in view of arthroscopic assisted...??
ORIF with bone grafting. and non-weight for at least 4 weeks.
This is an old injury (8 months) which is healed. If we believe that the articular cartilage is in reasonable condition and needs osteotomy and fixation, the elevation would be less problematic if it will be open as it will be easier the placement of the necessary structural bone graft which will be used to support the bone surface and the fixation will be under direct vision. Problem with this method is that the articular cartilage of the whole joint is exposed to the air. Arthroscopical assisted surgery can be performed, will be kinder to the joint but the possibility of a fully reconstructed surface due to imperfect osteotomy and support could be a problem. In the long run she will need a kind of replacement and correction of the secondary soft tissue deformities
- Badges
- Science topic