Intraoperative assessment of fracture reduction
Length, alignment, and rotation should be checked clinically. The knee is
taken through a full gentle range of motion to ensure appropriate fracture
fixation. Fracture reduction and fracture fixation are then assessed using AP,
lateral, and oblique x-rays. Specific questions to be answered in this
- Is there any sagittal plane deformity?
- How satisfactory is the valgus/varus alignment?
The cable method is recommended for checking the alignment of the limb.
- Length, alignment, and rotation should also be checked clinically.
- How satisfactory is the placement of the LISS fixator on the midlateral
aspect of the tibia?
- How satisfactory is the placement of the LISS fixator on the lateral aspect
of the tibial condyle.
- If in doubt, take an AP and lateral X-ray from the knee to the ankle.