1. Case Discussions Lower Extremity

2. Case - NL 57 yo female s/p MVA No significant medical history LOS at scene, Pulmonary Contusion with CT Pain and deformity and swelling knee

3. NL

8. Case - WT 74 yo male s/p MVA Multiple medical problems

9. WT – December 2010

12. WT – Night 1

13. WT – 2.5 weeks s/p injury

14. WT – 11 months s/p injury, pain over plate  ROH and NEGATIVE BX

15. WT – No change in Xrays 6 more months non-op Tx, “Too much Pain”, ROM 30-85

16. WT – 1 yr s/p TKR: ROM 10-110, No pain

17. Case Pt is a 29 year old male who fell from the bed of a pick up truck four days ago; Complains of right knee pain only

18. Case Courtesy from OTA – RCFC archives

19. Case Courtesy from OTA – RCFC archives

20. Case #3 Courtesy from OTA – RCFC archives

21. Case Courtesy from OTA – RCFC archives

22. 6 months Courtesy from OTA – RCFC archives

23. Case - JG 22 yo female MVA – ejected + LOC B/L open talus and right calcaneus Swollen and tense L calf with PAIN!

24. JG

25. JG ER CT scan ????

26. JG – night 1

28. JG CT scan after ex-fix

29. JG – 11 days

30. JG – 20 days

31. JG – 16 months

32. Needs R TTC fusion L ankle with some evidence AVN talus but minimal symptoms other than stiffness L knee: – No instability – 5-110 ROM – Intermittent pain at times at lateral joint line but satisfied currently

33. Case - MB 38 yo M postal worker on his way home from work, shot through car window by 14 yo M who was “pledging” a local gang

34. MB

37. Case - PL 52 yo F MVA >250 lbs. HTN

38. PL – 52 yo F s/p MVA

39. PL

41. PL – Refuses Arthroplasty

42. PL Infero-medial quadrant irreconstructible Intra-op shaping of femoral head allograft for IM quad Intra-op drilled native femoral head – No bleeding

43. PL

44. PL – 2 YEARS OUT

45. Intra-op Femoral Head allograft completely incorporated Advanced AVN superomedial quadrant

46. PL – 5 YEARS OUT – No symptoms

47. Case - FC 27 yo M s/p ped struck

48. FC

49. FC – after ER closed reduction

50. FC

53. FC – 3 years, No symptoms

54. Case - PH 35 yo Auto Mechanic involved in high speed MVA No PMH

55. PH

60. 4 years out Surprisingly mild sxs OTC NSAIDs once / week Full time mechanic Plays basketball with children on weekends

61. PH 4 years out Surprisingly mild sxs OTC NSAIDs once / week Full time mechanic Plays basketball with children on weekends

62. PH – 6 years out  Lots of pain

63. PH – 1 yr after THA  Happy, Full Duty Mechanic

64. DT 27 yo M s/p stolen car MVA Isolated Injury

65. DT