Lateral Compression
LC-1: pubic rami fracture with sacral fracture
plating
Fractures
Intraoperative Fractures
1. Shaft fracture from IM rod
2. Posterior condylar fracture
Management
- assess stability
- ORIF if needed
Subtrochanteric Fractures
Definition
Fracture below lesser trochanter / proximal 5 cm femur
Aetiology
Young patients / high velocity injuries
Old patients / osteoporosis
Talar neck fractures
Epidemiology
Second most common hindfoot after calcaneal fractures
Aetiology
Aviators Astragalus
Fall from height
- hyper-dorsiflexion injury
- neck of talus strikes the anterior tibia
Anatomy
More than half surface covered by articular cartilage
- medial articular wall straight
- lateral articular wall curves posteriorly
Arthrodesis
Issues
Like elbow arthrodesis, knee arthrodesis is an option of last resort
Example
- cannot sit on airplane toilet with door closed
Aims
Coapt 2 coplanar cancellous surfaces under compression with rigid fixation
Indications
Septic arthritis
Salvage failed TKR / infected TKR
Tumour
Charcot Join
PFFD