Trauma review UNIT 2 05-06-25 jimo Lo ki kmi

Cumin ji unko ki hu

1. WEEKLY REVIEW MEET 05 /06/2025 ORTHO UNIT – 2 ESIC MC & PGIMSR, RAJAJINAGAR, BANGALORE UNIT CHIEF – Dr. Naveen Kumar N DEPARTMENT OF ORTHOPAEDICS ESIC MC & PGIMSR, RAJAJINAGAR, BANGALORE

2. Case 1 A 49 Year old Male with A/h/o RTA on 24/5/25 at around 8.30 PM near Doddaballapura. Sustained injury to Left knee. C/oPain and swelling over Left knee C/oInability to bear weight on Left lower limb O/E: Swelling present over left knee Tenderness present over lateral condyle of Left proximal tibia Bony crepitus present ROM: Restricted and painful No DNVD

3. X - ray

4. SCHATZKER CLASSIFICATION

5. Plan Diagnosis: Closed Left proximal tibial fracture SCHATZKER type 2 Plan: ORIF WITH PLATING Executed: ORIF WITH PLATING

6. Post op radiograph

7. Knee ROM exercises Active toe and ankle movements Post op Advice

8. A 67 years old female presented with A/h/o RTA - Hit and run by two wheeler on 29/5/25 at around 10am and Sustained injury toRight thigh K/c/o HTN, DM C/oPain and swelling over Right Thigh C/oInability to bear weight on Right thigh O/E: Swelling and deformity present over Right thigh Tenderness present over Right thigh Bony crepitus felt ROM: Restricted and Painful No DNVD Case 2

9. X - ray

10. AO/OTA Classification

11. Plan Diagnosis: Right Distal femur fracture Plan: ORIF WITH PLATING Executed: ORIF WITH PLATING

12. Post op radiograph

13. Above knee slab application Active toe and ankle movements Post op Advice

14. A 55 year old male presented with A/H/o self fall 4 days back and sustained injury to Left hip C/o Pain and swelling over Left hip ℅ Inability to bear weight on Left lower limb O/E: Tenderness present over Left GT Bony crepitus felt ROM: Restricted and Painful No DNVD Case 3

15. X - ray

16. Diagnosis: Left Inter-trochanteric fracture of femur Plan: CRIF WITH PFN/ PFNA2 Executed: CRIF WITH PFNA2 Plan

17. Boyd and griffin classification

18. Post op radiograph

19. Limb elevation Active toe movements Post op Advice

20. Case 4 A 30 Year old Male with A/h/o self fall from two wheeler and Sustained injury to Left knee. C/oPain and swelling over Left knee C/oInability to bear weight on Left lower limb O/E: Swelling present over left knee Tenderness present over Left proximal tibia Bony crepitus present ROM: Restricted and painful No DNVD

21. X - ray

22. SCHATZKER CLASSIFICATION

23. Plan Diagnosis: Closed Left proximal tibial fracture SCHATZKER type 5 Plan: ORIF WITH PLATING Executed: ORIF WITH PLATING

24. Post op radiograph

25. Post op radiograph

26. Above knee slab immobilization Active toe and ankle movements Post op Advice

27. Case 5 A 13 year old female presented with A/h/o Hit by a stick 4 months back. C /o Pain and restriction of movements over right wrist since 4 months, increased since 1 week. O/e: Ulnar styloid prominence noted Tenderness present over Ulnar styloid Ballotment: negative ROM: Restricted and Painful No DNVD

28. Case 6 A 34 year old male with H/o Right distal end radius fracture operated elsewhere 2 years back C/o Pain on Right wrist movements since 2 years and Deformity over Right wrist since 2 years O/e: No limb length discrepancy No DNVD

29. THANK YOU