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tibial plateau fracture

By Ophavanh Inthirath | 19 Jun, 2017

the patient motor vehicle accident come and present with deformity of knee, swelling , pain and limited rang of motive

Replies

 

Jessica Hirschhorn Replied at 8:05 AM, 19 Jun 2017

AP and lateral x-ray?

Jennifer Lucas Replied at 8:14 AM, 19 Jun 2017

Who is the ideal medical practitioner to see the patient? Orthopedic
surgeon, plaster technician, physiotherapist?

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*Benson Sewe Otieno| Executive Officer | Sagam Community Hospital

Jessica Hirschhorn Replied at 8:18 AM, 19 Jun 2017

Need to see x rays.  However, with deformity as described, likely markedly displaced fracture.  Needs evaluation by ORTHO SURGEON.

Rameez Qudsi Replied at 7:04 PM, 19 Jun 2017

Must confirm it is a closed fracture (if open fracture needs immediate
antibiotics and likely immediate surgery for irrigation/debridement).
Depending on Xrays may need surgery or splint/cast.

Can take discussion offline if you would like to review further with XRays,
feel free to email me separately:

Robert Goodman Replied at 11:40 PM, 19 Jun 2017

History: You need to know if the patient was a passenger in vehicle or on motorcycle, or was he a pedestrian. Answer helps in determining the severity of the injury.
Physical: Is the knee unstable, open wound, crepitus, distal neuro-vascular compromise?
X-rays of knee: are fractures displaced? Are joint surfaces disrupted?
Treatment: Non- displaced,closed fractures can be treated with a cast for 4-6 weeks non weight bearing, then begin gentle range of motion. Begin progressive weight bearing at 6-8 weeks.
If fracture is open I agree with Rameez's recommendation.
If there is a displaced intraarticular fracture, it requires open reduction internal fixation to prevent persistent pain, instability,severe arthritis.

This Community is Archived.

While this community is no longer active, we invite you to review and recommend past posts and resources. Membership for this community is closed, but we hope you'll join us in one of the many other communities on GHDonline.

Moderators of Global Surgery & Anesthesia and GHDonline staff