Volume 2 - Issue 11

Orthopaedics case series

PR. Ramasamy*

HOD and Senior Consultant, Department of Orthopaedics, Kauvery Hospital, Trichy-Cantonment, India

*Correspondence: ramassamy@hotmail.com

 

Dr. PR. Ramasamy

Case 1

A 17-year-old boy sustained an RTA and presented to our emergency department. He was diagnosed to have open Grade-1 transphyseal separation of distal femur-right with diminished pulse. CT Angiogram was done and ruled out arterial injury. He underwent wound debridement, closed reduction and steinmann pinning right distal femur. After two wound dressing, above knee cast was applied and discharged.

Clinical picture

Clinical picture

CT Angiogram

CT Angiogram

Pre-op x-ray

Pre-op x-ray

Post-op x-ray

Post-op x-ray

Case 2

A 30-year-old female sustained injury to her right elbow following an RTA. She was diagnosed to have complex elbow fracture dislocation right. She underwent reduction of elbow followed by olecranon plating and radial head plating. Her postoperative period was uneventful. In one month, post OP she was started on elbow range of motion physiotherapy and she achieved good range of motion.

Pre-op x-ray

Pre-op x-ray

Post-op x-ray

Post-op x-ray

Flexion achieved

Flexion achieved

 

Extension achieved

Extension achieved

Supination achieved

Supination achieved

Pronation achieved

Pronation achieved

 

 

Case 3

A 57-year-old gentleman sustained injury to his right lower limb following an RTA. He was diagnosed to have femoral shaft and tibial shaft fracture of the same limb (floating knee) with Hoffa fracture-right knee. His neurovascular status was intact. He underwent closed reduction and intramedullary nailing of femur in the first stage followed by closed reduction and intramedullary nailing of tibia, screw fixation of femoral condyles in the second stage. His postoperative period was uneventful.

Pre-op x-rays

Pre-op x-rays

Pre-op x-rays

Pre-op x-rays

Pre-op x-rays

Pre-op x-rays

 

Post-op x-rays

Post-op x-rays

Post-op x-rays

Post-op x-rays


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