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the patient motor vehicle accident come and present with deformity of knee, swelling , pain and limited rang of motive
AP and lateral x-ray?
Who is the ideal medical practitioner to see the patient? Orthopedicsurgeon, plaster technician, physiotherapist?-- *Benson Sewe Otieno| Executive Officer | Sagam Community Hospital
Need to see x rays. However, with deformity as described, likely markedly displaced fracture. Needs evaluation by ORTHO SURGEON.
Must confirm it is a closed fracture (if open fracture needs immediateantibiotics 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:
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.