LIVRE JDG 2010

COMBINED INTRA-ARTICULAR AND VARUS OPENING WEDGE OSTEOTOMY FOR LATERAL DEPRESSION…

Fig. 5-A: Long leg axis of a 34 year old

patient after insufficient operative treatment

of a AO-C2 type tibial plateau fracture with a

persisting intraarticular defect and valgus

malunion of the lateral plateau causing pain

and instability.

Fig. 5-B: Coronal and sagital CT images sho-

wing the valgus and intra-articular malunion

in detail.

Fig. 5-C: With use of a curved impactor

inserted through the window, the depressed

area of the lateral plateau was elevated to

conform to the lateral femoral condyle. A

slight overcorrection was created. The cor-

rection is maintained by impacting cancel-

lous autograft bone beneath.