Discusión entre pares / 32/m hyperextension injury left knee.

Indian-Orthopaedic Research-Group

Ayer a las 12:25

Tej Prakash Dawadi

Ayer a las 12:24

32/m hyperextension injury left knee. Normal DNVS. Management ? Only screws or buttress plate?CT is enough for now or MRI to see the associated ACL injury. X ray shows posteromedial split # medial plateau.

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  Nishikant Kumar SCHATZKAR Type 4- percutaneous CCS.

  Ayer a las 13:38 · Editado · Me gusta
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  Kumar Rohit ^does medial condyle split also qualify as schatzker1?

  Ayer a las 13:55 · Me gusta
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  Nishikant Kumar it wil come as type 4 perhaps but mx wll be ccs

  Ayer a las 13:58 · Me gusta
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  Nishikant Kumar In such cases there are chances of late colla[se so what i do in such cases is put buttress screw at distal end with washer to prevend late collapse.

  Ayer a las 14:22 · Me gusta
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  Harindra Himanshu do ct and see what is geometry of medial condyle fracture? m/n depends on this geometry?

  8 horas · Me gusta
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  Harindra Himanshu what abt. neurovascular status?

  8 horas · Me gusta
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  Sanjay Joseph This is Schatzker T 4. Two percutaneous compression screws and cylinder cast should suffice.

  6 horas · Me gusta
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  Abdullrab Almarwanya Type IV fracture: a fracture of the
  medial plateau is frequently associated with a fracture of the intercondylar eminence. This high-energy injury
  may be associated with neurovascular or other significant soft tissue injury. Definitive fixation of Type IV (medial
  plateau) fractures usually requires a medial buttress plate to supplement the lag screws. Lag screws or a wire suture
  may be needed to anchor an intercondylar eminence fragment.