Ward round Orthopedics

1. WARD ROUND
DR. MUHAMMAD ALI
04/08/23

2. POST OP PATIENTS
KHALIL ASIF 15Y/M
 MR NO 214309
 1st post op day after intramedullary interlocking nail placement in left femur
 A/C nill
 O/E
 vitally stable
 leg is elevated
 dressing is dry and intact
 CR normal
 Plan :
 C.S.T
 Discharge after consultant opinion

3. BEFORE

5. AO / ATA CLASSIFICATION OF FEMUR
SHAFT FRACTURES
 32 A SIMPLE :
 A1 SPIRAL
 A2 OBLIQUE > 30
DEGREES
 A3 TRANSVERSE <30
DEGREES
 32 B WEDGE :
 B1 SPIRAL WEDGE
 B2 BENDING WEDGE
 B3 FRAGMENTED WEDGE
 32 C COMPLEX :
 C1 SPIRAL
 C2 SEGMENTAL
 C3 IRREGULAR

6. SHAH BEGUM 82Y/F
MR NO 214139
 1st post op day after ORIF with K wire
 A/C nill
 O/E
 Vitals are stable
 Dressing is dry and intact
 DNV status intact
 CR normal
 Plan :
 C.S.T
 Discharge after consultant opinion

7. BEFORE

10. Hanifa bibi (70yrs)
MR no.212390
DOA; 31.07.23
Pt presented with Fx of left neck of femur garden type 4. Unable to bear weight
 Hx of fall 17 days ago.
 Comorbs - HTN
 A/C; NILL
 O/E : pt vitally stable150/100 bp start amodip 10 od
 Labs: HB 10.4 , CRP titre +ve, Raised ESR (82)
 Plan : Bipolar Hemiarthoplasty
 Anesthesia evaluation
 Pulmonologist review

13. GARDEN CLASSIFICATION OF
FEMORAL NECK FRACTURES
 TYPE I INCOMPLETE FX (VALGUS IMPACTED)
 TYPE II COMPLETE FX , NONDISPLACED
 TYPE III COMPLETE FX, PARTIALLY DISPLACED
 TYPE IV COMPLETE FX, FULLY DISPLACED

14. Tayyab Riaz(17 yrs)
M.R no. 214743
D.O.A 01/08/2023
 Presented in the ER with in ability to bear weight on left leg and severe pain in the
right hand(stitches applied).
 Radiograph showed Left Tibia + Fibula fracture ( 42-A1 Left)
 A/C pain at the fracture site and pain in the left hand.
 The patient is vitally stable.
 O/E:
- The dressing is dry and intact.
- Loss of sensation on ulnar nerve distribution.
- DNV status intact.
-CR normal.
 LABS HB 14.4 , ESR 30 , V/M non reactive
USG of hand shows no evidence of ulnar nerve damage
 Plan:
Bactigrass dressing applied on the hand.