Osteotomía selectiva como tratamiento de la inestabilidad medial de rodilla

Abstract

Tibial plateau fractures are frequent. Loss of reduction with axis deviation in the coronal, sagittal and axial planes is one of the postoperative complications.

Bone depression generates joint incongruity with loss of tension in undamaged ligament structures resulting in pseudo laxity with instability. This requires a bone correction to increase the tension of ligament structures, hence achieving the recovery of joint congruence and stability throughout the range of mobility.

The objective of the current paper is to report a case of medial instability in a young patient, who suffered a medial tibial plateau fracture with poor bone consolidation, with consequent laxity and pain in the medial compartment, which required a selective biplanar and intra-articular osteotomy to correct such deformity.