Knee Dx Yazdi HR MD IUMS. A 28 Y/O male Knee pain and sever deformity due to motor to car accident

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Knee Dx Yazdi HR MD IUMS Slide 2 A 28 Y/O male Knee pain and sever deformity due to motor to car accident Slide 3 Slide 4 What is your diagnosis? Typing? What is your first planning in emergency room? Do you take X-Ray? When and where do you do closed reduction? What do you do before and after CR? Slide 5 What do you do if CR was not successful ? How do you evaluate the vascular status if: A- Per and post CR have NL pulses B-Before CR you have abnormal and after CR normal pulses C-Before and after CR you face to abnormal Pulses Slide 6 Slide 7 How do you stabilize the knee after CR(splint? cast? EF?) What is your next imaging study? Slide 8 Slide 9 ACL and PCL and Lateral complex tear, MCL sprain How do you manage the ligament injuries? Slide 10 Case 2 54 Y/O M Motor to car accident Closed tibia and open fibula fx Knee pain and effusion P nerve injury No vascular problem DM + Slide 11 Slide 12 Slide 13 Slide 14 What is your diagnosis? How do you manage the tibia fx? IMN, Plate,Cast When do you fix the Fx? What is your planning for P nerve injury? Slide 15 First surgery Slide 16 Second surgery Slide 17 The patient was referred to me 2 week later Slide 18 Diagnosis was MCL,ACL and PCL grade 3 injury Patellar Dx Mild laxity of FCL How do you manage the knee injury? Slide 19 Slide 20