truma preop and post op x rays and the treatment done..ppt

truma preop and post op x rays and the treatment done.

1. AUDIT
UNIT A
(Pro. S. Singh)

(20/07/2024 TO 27/07/2024)

2. •Number of patients admitted – 20
•Number of patients operated – 13
•Number of patients discharged – 12
•Number of patients on bed – 08
•Numbers of patients in ICU – 0
•Numbers of mortality – 0

3. •NAME - RANJAN
•AGE - 32 YEARS
•GENDER - MALE
•DATE OF ADMISSION - 21-06-2024
•DATE OF SURGERY - 22-07-2024
•DATE OF DISCHARGE - 25-07-2024

4. •Diagnosis - 2 year old right side open shaft of tibia fracture operated outside
with closed reduction internal fixation with TIN present with non-union.

•Management :- Removal of small fragment of fibula and exchange of tibia nail
with large diameter TIN done in ortho elective OT.

ADVICE : 
•Weight bearing is allowed.
•Active knee banding and active quadriceps drill.

5. PRE OP POST OP

6. •NAME - SHELASH
•AGE - 34 YEARS
•GENDER - MALE
•DATE OF ADMISSION - 21-06-2024
•DATE OF SURGERY - 22-07-2024
•DATE OF DISCHARGE - 25-07-2024

7. •Diagnosis 2 month old open shaft of tibia fracture operated that time with closed reduction and
stabilization with external fixator now present for definitive management.
 
 Management Closed reduction internal fixation of tibia with tibia interlocking nail right side done in
ortho. ot.

ADVICE ON DISCHARGE: 

•Active quadriceps drill and active knee bending exercises.
•Walking with support. 
 

8. PRE OP POST OP

9. •NAME - RAM BIHARI YADAV
•AGE - 34 YEARS
•GENDER - MALE
•DATE OF ADMISSION - 20-06-2024
•DATE OF SURGERY - 21-07-2024
•DATE OF DISCHARGE - 25-07-2024

10. •Diagnosis Subtrochanteric femur fracture with Intertrochanteric extension right side.
 
 Management open reduction internal fixation of femur with proximal femoral nail a2 (10 x
400mm; 135; titanium) with trochanteric plate left side done in ortho. ot.

ADVICE ON DISCHARGE: 

•Active quadriceps drill and active knee bending exercises.
•Walking with support with partial weight bearing. 
 

11. PRE POST OP

12. •NAME - USHA DEVI
•AGE - 54 YEARS
•GENDER - FEMALE
•DATE OF ADMISSION - 20-06-2024
•DATE OF SURGERY - 20-07-2024
•DATE OF DISCHARGE - 25-07-2024

13. •Diagnosis - 2 weeks old bimalleolar fracture right side (close).

•Management :- Open reduction internal fixation of fibula with distal fibula
plating (3 hole, TITANIUM), and medial malleolus with open reduction and
fixation with one 4mm canulated cancellous screw right side done in ortho
emergency OT.

ADVICE : 
•BED REST
•Active knee banding and active quadriceps drill.

14. •PRE POST

15. •NAME - RANJAN
•AGE - 32 YEARS
•GENDER - MALE
•DATE OF ADMISSION - 21-06-2024
•DATE OF SURGERY - 22-07-2024
•DATE OF DISCHARGE - 25-07-2024

16. •Diagnosis Fracture distal end radius with intraarticular extension right side.
 Management open reduction and internal fixation of fracture distal end radius with
volar plate ( titanium ,3 holes ), done in ortho OT.

ADVICE ON DISCHARGE: 
•Active movement of fingers
•WEIGHT LIFTING NOT ALLOWED
•Limb elevation

17. •PRE POST

18. •NAME - RUDRA
•AGE - 9 YEARS
•GENDER - MALE
•DATE OF ADMISSION - 20-06-2024
•DATE OF SURGERY - 21-07-2024
•DATE OF DISCHARGE - 25-07-2024

19. •Diagnosis left side distal 1/3
rd
shaft of tibia Fracture.
 Management Close reduction and stablisation of fracture with 2 TENS (4mm)done
in ortho OT.

ADVICE ON DISCHARGE: 
•WEIGHT bearing NOT ALLOWED.
•Limb elevation.

20. PRE POST OP

21. •NAME - ANKUSH
•AGE - 22 YEARS
•GENDER - MALE
•DATE OF ADMISSION - 19-06-2024
•DATE OF SURGERY - 20-07-2024
•DATE OF DISCHARGE - 25-07-2024

22. •Diagnosis - proximal tibia fracture right side (close).

•Management :- Open reduction internal fixation of tibia with proximal tibia
locking plate (9 hole, TITANIUM) and one 6mm cannulated cancellous screw
right side done in ortho emergency OT.

ADVICE : 
•BED REST
•Weight bearing not allowed
•Active knee banding and active quadriceps drill.

23. • PRE POSTN

24. •NAME - AYUSH RAJ
•AGE - 9 YEARS
•GENDER - MALE
•DATE OF ADMISSION - 21-06-2024
•DATE OF SURGERY - 22-07-2024
•DATE OF DISCHARGE - 27-07-2024

25. •Diagnosis – pathological proximal femur fracture with suspected aneurysmal
bone cyst right side.

•Management :- debridement and curettage of tumor and Open reduction
internal fixation of femur with proximal humerus locking plate (9 hole,
TITANIUM) right side done in ortho emergency OT.

ADVICE : 
•BED REST
•Active knee banding and active quadriceps drill.

26. PRE POST OP

27. •NAME - KALAWATI DEVI
•AGE - 62 YEARS
•GENDER - FEMALE
•DATE OF ADMISSION - 21-06-2024
•DATE OF SURGERY - 26-07-2024
•PATIENT ON BED

28. •Diagnosis Intertrochanteric fracture femur right side.
 
 Management Closed reduction internal fixation of femur with proximal femoral nail a2 (11 x
170mm; 135; titanium) right side done in ortho. ot.

ADVICE ON DISCHARGE: 

•Active quadriceps drill and active knee bending exercises.
•Walking with support. 
 

29. •PRE POST

30. •NAME - KIRAN SING
•AGE - 49 YEARS
•GENDER - FEMALE
•DATE OF ADMISSION - 21-06-2024
•DATE OF SURGERY - 26-07-2024
•DATE OF DISCHARGE - 27-07-2024

31. DIAGNOSIS Osteoarthritis bilateral knee joint (left>right).
 MANAGEMENT Total Knee Replacement (femoral size – 2; tibial tray – 1.5; tibia insert – 2,
12.5mm) left side done in ortho. elective OT.

ADVICE ON DISCHARGE: 

•Limb elevation and active toe movement.
•Active quadriceps drill and active knee bending exercises.
•Weight bearing and walking allowed with walker support.
•Cross leg sitting and squatting not allowed.
 

32. •PRE POST

33. •NAME - ASHAMA KHATOON
•AGE - 62 YEARS
•GENDER - FEMALE
•DATE OF ADMISSION - 20-06-2024
•DATE OF SURGERY - 22-07-2024
•DATE OF DISCHARGE - 27-07-2024

34. •Diagnosis – avascular necrosis of left hip with previously operated with hemi-hip
arthroplasty in right side for right side neck of femur fracture.
Management Non- cemented Total hip arthroplasty (Acetabulum cup – 48mm;
femoral head – 32; stem size - 12)right side done in ortho. Elective OT.
ADVICE ON DISCHARGE: 

•Active knee bending Exercises and active quadriceps drill.
•Walking with support.
•Squatting and cross leg siting not allow.

35. • PRE POST

36. •NAME - SHARDA DEVI
•AGE - 50 YEARS
•GENDER - FEMALE
•DATE OF ADMISSION - 20-06-2024
•DATE OF SURGERY - 22-07-2024
•DATE OF DISCHARGE - 27-07-2024

37. •Diagnosis – Osteoarthritis bilateral hip (right > left).
Management Non- cemented Total hip arthroplasty (Acetabulum cup – 48mm;
femoral head – 32; stem size - 12) and one 6mm ccs for iatrogenic grater trochanter
fracture right side done in ortho. Elective OT.
ADVICE ON DISCHARGE: 

•Active knee bending Exercises and active quadriceps drill.
•Walking not allowed.
•Squatting and cross leg siting not allow.

38. •PRE POST

39. •NAME - GULABI DEVI
•AGE - 43 YEARS
•GENDER - FEMALE
•DATE OF ADMISSION - 20-06-2024
•DATE OF SURGERY - 22-07-2024
•DATE OF DISCHARGE - 24-07-2024

40. •Diagnosis distal 1/3
rd
femur fracture left side.
 
 Management Closed reduction internal fixation of femur with distal femoral nail (10 x 360mm;
135; titanium) left side done in ortho. OT.

ADVICE ON DISCHARGE: 

•Active quadriceps drill and active knee bending exercises.
•Walking with support. 
 

41. • PRE POST

42. THANK YOU