case_images: PMC10902739_01
case_images: Immediately postoperative radiography and computed tomography (CT).. (a) Postoperative radiography shows no fracture line.. (b) Postoperative CT shows the level of a pinhole.. The red arrows show the place of the pin. The pin was placed outside the tibial mechanical axis.
case_images: cureus-0016-00000053228-i01.jpg
case_images: PMC10902739_01_cureus-0016-00000053228-i01.jpg
case_images: FIG1
case_images: Immediate postoperative radiography and CT showed no fracture lines (Figure 1).
case_images: Magnetic resonance imaging (MRI) and radiography at five weeks postoperatively.. (a) The red arrow of the MRI shows a fracture line from the intersection of the longitudinal and transverse tibial osteotomies through the lateral pinhole to the end of the lateral tibial diaphysis of the right knee.. (b) The red arrow of radiography shows the same fracture line as MRI.
case_images: cureus-0016-00000053228-i02.jpg
case_images: PMC10902739_01_cureus-0016-00000053228-i02.jpg
case_images: FIG2
case_images: However, an MRI showed on the right knee a fracture line from the intersection of the longitudinal and transverse tibial osteotomies through the lateral pinhole to the end of the lateral tibial diaphysis of the right knee (Figure 2).
case_images: Radiography at three months postoperatively.
case_images: cureus-0016-00000053228-i03.jpg
case_images: PMC10902739_01_cureus-0016-00000053228-i03.jpg
case_images: FIG3
case_images: At three months, bone union was observed (Figure 3).
case_images: Radiography at two years postoperatively.
case_images: cureus-0016-00000053228-i04.jpg
case_images: PMC10902739_01_cureus-0016-00000053228-i04.jpg
case_images: FIG4
case_images: At two years postoperatively, there was no dislocation or loosening of components (Figure 4).
case_images: PMC10902739_02
case_images: Immediately postoperative radiography and CT.. (a) Postoperative radiography shows no fracture line.. (b) Postoperative CT shows the level of a pinhole.. The red arrows show the place of the pin. The pin was placed outside the tibial mechanical axis.
case_images: cureus-0016-00000053228-i05.jpg
case_images: PMC10902739_02_cureus-0016-00000053228-i05.jpg
case_images: FIG5
case_images: Immediate postoperative radiography and CT showed no fracture lines (Figure 5).
case_images: MRI and radiography at five weeks postoperatively.. (a) The red arrow of the MRI shows the same fracture line as Case 1.. (b) The red arrow of radiography shows the same fracture line as the MRI.
case_images: cureus-0016-00000053228-i06.jpg
case_images: PMC10902739_02_cureus-0016-00000053228-i06.jpg
case_images: FIG6
case_images: At six weeks, there was no pain, tenderness, or swelling around the proximal tibia; however, an MRI showed a tibial lateral condyle fracture line (Figure 6).
case_images: Radiography at three months postoperatively.
case_images: cureus-0016-00000053228-i07.jpg
case_images: PMC10902739_02_cureus-0016-00000053228-i07.jpg
case_images: FIG7
case_images: No external fixation was performed, and bone fusion was observed at three months (Figure 7).
case_images: Radiography at two years postoperatively.
case_images: cureus-0016-00000053228-i08.jpg
case_images: PMC10902739_02_cureus-0016-00000053228-i08.jpg
case_images: FIG8
case_images: There was no dislocation or loosening of components at two years postoperatively (Figure 8).
case_images: PMC10902739_03
case_images: Immediately postoperative radiography and CT.. (a) Postoperative radiography shows no fracture line.. (b) Postoperative CT shows the level of a pinhole.. The red arrows show the place of the pin. The pin was placed on the tibial mechanical axis.
case_images: cureus-0016-00000053228-i09.jpg
case_images: PMC10902739_03_cureus-0016-00000053228-i09.jpg
case_images: FIG9
case_images: Immediate postoperative radiography and CT showed no fracture lines (Figure 9).
case_images: MRI and radiography at five weeks postoperatively.. (a) The red arrow of the MRI shows the same fracture line as Cases 1 and 2.. (b) Radiography does not reveal a fracture line.
case_images: cureus-0016-00000053228-i10.jpg
case_images: PMC10902739_03_cureus-0016-00000053228-i10.jpg
case_images: FIG10
case_images: However, as reported in the other cases, MRI showed a fracture line (Figure 10).
case_images: Radiography at three months postoperatively.
case_images: cureus-0016-00000053228-i11.jpg
case_images: PMC10902739_03_cureus-0016-00000053228-i11.jpg
case_images: FIG11
case_images: No external fixation was performed, and bone union was observed three months after surgery (Figure 11).
case_images: Radiography at two years postoperatively.
case_images: cureus-0016-00000053228-i12.jpg
case_images: PMC10902739_03_cureus-0016-00000053228-i12.jpg
case_images: FIG12
case_images: Two years postoperatively, there was no dislocation or loosening of components (Figure 12).
case_images: PMC10902739_04
case_images: Immediately postoperative radiography and CT.. (a) Postoperative radiography shows no fracture line. (b) Postoperative CT shows the level of a pinhole. The red arrows show the place of the pin. The pin was placed on the tibial mechanical axis.
case_images: cureus-0016-00000053228-i13.jpg
case_images: PMC10902739_04_cureus-0016-00000053228-i13.jpg
case_images: FIG13
case_images: Immediate postoperative radiographs showed no fracture line (Figure 13).
case_images: MRI and radiography at five weeks postoperatively.. (a) Postoperative radiography shows no fracture line.. (b) Postoperative CT shows the level of a pinhole.. The red arrows show the place of the pin. The pin was placed on the tibial mechanical axis.
case_images: cureus-0016-00000053228-i14.jpg
case_images: PMC10902739_04_cureus-0016-00000053228-i14.jpg
case_images: FIG14
case_images: An MRI showed similar fracture lines to Cases 1, 2, and 3 (Figure 14).
case_images: Radiography at three months postoperatively.
case_images: cureus-0016-00000053228-i15.jpg
case_images: PMC10902739_04_cureus-0016-00000053228-i15.jpg
case_images: FIG15
case_images: No external fixation was performed, and bone union was observed at three months (Figure 15).