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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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Presentation on theme: "Knee Dx Yazdi HR MD IUMS. A 28 Y/O male Knee pain and sever deformity due to motor to car accident."— Presentation transcript:

1 Knee Dx Yazdi HR MD IUMS

2 A 28 Y/O male Knee pain and sever deformity due to motor to car accident

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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?

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

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7 How do you stabilize the knee after CR(splint? cast? EF?) What is your next imaging study?

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9 ACL and PCL and Lateral complex tear, MCL sprain How do you manage the ligament injuries?

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 +

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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?

15 First surgery

16 Second surgery

17 The patient was referred to me 2 week later

18 Diagnosis was MCL,ACL and PCL grade 3 injury Patellar Dx Mild laxity of FCL How do you manage the knee injury?

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