This was a challenging case of a 17 year boy who came off his pizza delivery bike and fractured his femur.
I am presenting this case as just a very good example of a young patient with major trauma related knee ligament problem, in whom osteotomy surgery has played a key role in correcting the ligament instability.
This picture on the left shows the fixation with an anchor on the side to put his ligaments back on again. As part of the osteotomy you can see the drill in position on the inner side of the leg, and that is aiming almost at the fibula. The next image on the right shows the chisel going in under X-ray guidance – the wire is the drill bit and then the slightly flat looking thing is the chisel.