title: Deformity in flexion of proximal tibia secondary to bifocal fracture and anterior instability of knee (deformity in flexion of tibia and ACL reconstruction).
abstract: We present a clinical case of anterior instability of the knee due to chronic rupture of the ACL; where there was also proximal deformity of the tibia, secondary to consolidation in flexion of the proximal fragment in a bifocal fracture of the tibia, treated by non-reamed intramedullary nailing, which consolidated in flexion of the proximal fractured segment, causing a marked increase in the angle of the tibial slope. The patient refers an articular instability, which prevented her from walking correctly and causing her frequent falls. We repaired under same chirurgical act, all the problems of the patient, her vicious consolidation and her articular instability. The result is perfect.
authors.affiliation: Servizio di Traumatologia e Chirurgia Ortopedica, Ospedale Clinico Universitario Lozano Blesa, Saragozza, Spagna.
authors.forename: D
authors.initials: D
authors.lastname: Palanca Martin
authors.forename: A L
authors.initials: AL
authors.lastname: Bueno Lozano
authors.forename: G
authors.initials: G
authors.lastname: Martin Ruiz
mesh_terms: D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D001858:Bone Nails; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects*; D017759:Fractures, Malunited / Q000150:complications / Q000473:pathology / Q000601:surgery; D006801:Humans; D007593:Joint Instability / Q000209:etiology* / Q000601:surgery*; D009068:Movement; D019637:Orthopedic Procedures; D011859:Radiography; D016059:Range of Motion, Articular; D013978:Tibial Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome