Tibial crest avulsion fracture and a fracture of the left proximal growth plate of the tibia (red arrows) with caudal shift of the proximal segment. The caudal shift of the proximal segment created 9 degrees change of the tibial plateau angle (TPA). TPA 34 degrees left leg-abnormal, TPA right leg 25 degrees-normal. Anatomical reduction and normalizing TPA is desirable in this cases in order to reduce risks of early cruciate ligament rupture in future. The fracture was anatomically reduced and stabilized with k-wires and tension band combined with cross pins technique.
Surgeon- Martin Simonovski
Tibial crest avulsion fracture and a fracture of the left proximal growth plate of the tibia (red arrows) with caudal shift of the proximal segment. The caudal shift of the proximal segment created 9 degrees change of the tibial plateau angle (TPA). TPA 34 degrees left leg-abnormal, TPA right leg 25 degrees-normal. Anatomical reduction and normalizing TPA is desirable in this cases in order to reduce risks of early cruciate ligament rupture in future. The fracture was anatomically reduced and stabilized with k-wires and tension band combined with cross pins technique.