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Bil Femoral fractures


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Bil Femoral fractures - Presentation by Prof Richardson

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Bil Femoral fractures

  1. 1. Bil Femoral fractures - 03X04050 Prof J Richardson, Mr S Penna
  2. 2. History <ul><li>54 yr old electrician </li></ul><ul><li>RTA 25 yrs ago Bil # femur, Right tibia </li></ul><ul><li>Left femur open injury required 2 operations. malunion. </li></ul><ul><li>Current problems pain in both knees, unable to flex his right knee, deformity of left thigh </li></ul>
  3. 3. Examination <ul><li>Broad based gait </li></ul><ul><li>Varus deformity left knee </li></ul><ul><li>Bil significant patello femoral crepitus, mild medial joint tenderness. </li></ul><ul><li>Right knee – 0 to 70 degrees, </li></ul><ul><li>Left knee – 0 to 90 degrees. </li></ul><ul><li>Overall leg length equal but discrepancies at left femur and Right tibia. </li></ul>
  4. 4. Xrays
  5. 6. Procedure 1 <ul><li>Bilateral Quadricepsplasty, removal of blade plate and screws left </li></ul>
  6. 8. Post op clinic review <ul><li>Knee flexion up to 110 on left, 100 right </li></ul>
  7. 9. Xrays Priorities for pa tient now to restore left lower lim b length. What will you do?
  8. 11. Post Op <ul><li>Concerned about movement and clicking at operation site. </li></ul>
  9. 19. <ul><li>What are management options now? </li></ul>