09 April 2018
As you can see on the images below, the injury was pretty significant, high energy trauma with an open distal femoral fracture (Gustilo-Andresen 3B).
11 April 2018
Definitive fixation was done as per our protocol above.
11 May 2018
Post operative X-rays are self explanatory.
31 May 2018
We will wait for 6 weeks before we do anything with the bone defect. One of the reasons is infection and the second one is spontaneous bony activity in the defect which is not as rare as someone would expect.
15 June 2018
Apart from pain in the thigh at the time of distraction everything else is going well. Clinically no sign of infection.
If you compare the plate shape prior the transport and now you will see a significant bent suggesting a significant force on the plate. Exactly what we usually see.
Mr Matija Krkovic, MD, PhD
I am Consultant Orthopaedic Trauma Surgeon with special interest in Limb reconstructions and bone infections.