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The document discusses fractures and dislocations of the pelvis and lower extremity. It aims to describe the signs, symptoms, types, pathophysiology, diagnostic workup, treatment and complications of fractures of the pelvis, hip, femur, knee, tibia, ankle and foot. Specific fracture types discussed include acetabular fractures, femoral neck fractures, intertrochanteric fractures, femoral shaft fractures, knee dislocations, patellar fractures, ankle fractures, calcaneal fractures and metatarsal fractures. Treatment methods shown include open reduction and internal fixation, hip screws, interlocking femoral nails, external fixation and casting.
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Surgery - Dychioco- Fractures of Pelvis & Lower Extremity
The document discusses fractures and dislocations of the pelvis and lower extremity. It aims to describe the signs, symptoms, types, pathophysiology, diagnostic workup, treatment and complications of fractures of the pelvis, hip, femur, knee, tibia, ankle and foot. Specific fracture types discussed include acetabular fractures, femoral neck fractures, intertrochanteric fractures, femoral shaft fractures, knee dislocations, patellar fractures, ankle fractures, calcaneal fractures and metatarsal fractures. Treatment methods shown include open reduction and internal fixation, hip screws, interlocking femoral nails, external fixation and casting.
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Attribution Non-Commercial (BY-NC)
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Unduh sebagai PPT, PDF, TXT atau baca online dari Scribd
The document discusses fractures and dislocations of the pelvis and lower extremity. It aims to describe the signs, symptoms, types, pathophysiology, diagnostic workup, treatment and complications of fractures of the pelvis, hip, femur, knee, tibia, ankle and foot. Specific fracture types discussed include acetabular fractures, femoral neck fractures, intertrochanteric fractures, femoral shaft fractures, knee dislocations, patellar fractures, ankle fractures, calcaneal fractures and metatarsal fractures. Treatment methods shown include open reduction and internal fixation, hip screws, interlocking femoral nails, external fixation and casting.
Hak Cipta:
Attribution Non-Commercial (BY-NC)
Format Tersedia
Unduh sebagai PPT, PDF, TXT atau baca online dari Scribd
EXTREMITY JOSELITO T. DYCHIOCO, MD, FPCS, FPOA At the end of the lecture, the student should be able to: • Describe the signs and symptoms of fractures & dislocations of the pelvis and lower extremity • Differentiate the different types of fractures & dislocations of the pelvis and lower extremity and their pathophysiology • Describe the initial diagnostic workup and treatment of these fractures • Enumerate the possible complications of these fractures & dislocations • Determine which fractures & dislocations need referral to the proper specialist VEHICULAR ACCIDENT FRACTURES OF THE PELVIS PELVIC STABILITY • stability of the pelvis can be divided into anterior and posterior stability. The anterior stability contributes 40% of the strength of the pelvis, while 60% of the pelvis' strength is derived from the posterior stabilizing structures. • It is interesting to note that the pelvis will remain stable if completely disrupted anteriorly as long as the posterior support is not disturbed. Morel-Lavallee Lesion • Is an ecchymotic lesion over greater trochanter represents a subcutaneous degloving injury, usually asso w/ acetabular fracture PELVIC COMPRESSION TEST ANT-POST COMPRESSION LATERAL COMPRESSION VERTICAL SHEAR UNSTABLE PELVIC FRACTURE PELVIC ORGANS AND HEMORRHAGIC SHOCK OPEN PELVIC FRACTURE OPEN REDUCTION & INT’L FIXATION OF PELVIC FRACTURE ACETABULAR FRACTURE ACETABULAR FRACTURES CT-SCAN ACETABULAR FRACTURE CT-SCAN WITH 3D IMAGE ORIF ACETABULAR FRACTURE POST-OP X-RAYS FEMORAL HEAD FRACTURES ACETABULAR WITH FEMORAL HEAD FRACTURE ORIF FEMORAL HEAD FRACTURE FRACTURES OF THE LOWER EXTREMITY • -HIP DISLOCATION • -PROXIMAL FEMUR • -FEMORAL SHAFT • -KNEE • -TIBIA • -ANKLE • -FOOT DASHBOARD TYPE INJURY HIP DISLOCATION Avascular Necrosis of Femoral head • Occurs in 100% of cases, if hip remains dislocated for 24 hours • In the dislocated position, tension on the capsular blood vessels restrict blood flow to the femoral head • Reduction within 6 hours reduce incidence of ischemic changes BILATERAL HIP DISLOCATION MANEUVERS FOR CLOSED REDUCTION FEMORAL NECK FRACTURE BLOOD SUPPLY OF FEMORAL HEAD FEMORAL NECK FRACTURE XRAY HIP PROSTHESIS INTERTROCHANTERIC FRACTURE AND HIP SCREW FLOATING KNEE INTERLOCKING FEMORAL NAIL FEMORAL SHAFT FRACTURE IN CHILDREN APPLICATION OF HIP SPICA HEALING OF FEMORAL SHAFT FRACTURE IN A CHILD KNEE ANATOMY KNEE LIGAMENTS KNEE DISLOCATION • More than half of all knee dislocations are anterior or posterior, and both of these have a high incidence of popliteal artery injury. Popliteal Artery UNHAPPY TRIAD OF O’DONOGHUE VALGUS STRESS TEST Patellar Fractures Cerclage Wiring for Patellar Fracture Patellar Fracture X-rays OPEN FRACTURES Gustilo Classification of Open Fx External Fixature for Open Tibial Fx ANKLE FRACTURES Ankle Fracture Tri-Malleolar Fracture Maisonneuve fracture • Maisonneuve Fracture X-ray Achilles Tendon Rupture Thompsen’s Test for Ruptured Achilles Tendon Talar fracture Calcaneal Fracture X-ray of Calcaneal Fracture ORIF of Calcaneal Fracture Fractures of Forefoot 5 Metatarsal Fracture th ORIF 5th Metatarsal Fracture Multiple Metatarsal Fractures Stress Fracture