@orthohouse123@traumacito@InvictaOrtho Challenge case! Its important to know what happens with the leg, physical examination, ct scan and pain. Open reduction with a nail, cables and some graft, its what i’d like to do
@traumaticum@ChipRoutt @DrMarecek Two windows approach, lateral window iliac crest screw short Iliac plate inner. Medial window, reduce the fracture and long plate from pubis to high iliac (anterior brim plate) and percutaneus LC2 screw 🤷🏻♂️🔨
@nongtanch I think is better to operate with a nail. Soft tissues control, less ankle and knee stiffness, and avoid rotational secundary displacement, usually in external rotation and early weightbearing
@binayamishra16@BoneJointDoctor@Drlyndonmason Horrible fracture…after applying an ankle-spanning external fixator (span) could repeat the CT to try to fix the medial maleollus, the articular main fragments and the talar neck….for asking…if not possible arthrodesis will be a good option. Good luck, thank you for sharing
@suhirad Yes of course! But with good bone, non conminution neither displacement and component tranverse AC fx with SIj fixed, i feel good not to open ischium or lateral window