ORTHO
BULLETS
Free CME
Join now
Please confirm topic selection

Are you sure you want to trigger topic in your Anconeus AI algorithm?

Please confirm action

You are done for today with this topic.

Would you like to start learning session with this topic items scheduled for future?

Evolving Concepts in Orthopaedic Trauma 2025
110 days left! Register for ECOT 2025
Evaluation, Resuscitation & DCO
Posted: Jan 12 2023 #(C102125)
A

Open Floating Knee with Contralateral Closed Tibia Shaft Fx in 38F

;
Open Floating Knee with Contralateral Closed Tibia Shaft Fx in 38F

HPI

A 38-year-old woman presents after being restrained driver in a motor vehicle collision. Here orthopaedic injuries are contained to her lower extremity and include: 1. RIGHT Closed distal intrarticular femur fracture. 2. RIGHT Type 2 open proximal tibia fracture, 3. LEFT Closed tibial shaft fracture.

PMH

She is otherwise healthy, and a nonsmoker.

PE

Vitals: HR 120s, BP 90s/60s, lactate 3.8 The patient is Alert and oriented x3. There is no head/neck, thoracic or abdominal trauma. She has a 4cm Open wound on the RIGHT medial proximal leg, which does not extend proximally over the knee joint. She is neuro intact BLE. Her Compartments are soft.

Poll
1 of 1
1. If you choose I&D and Temporizing Ex-Fix of the RIGHT femur and tibia, how would you diagnose/manage a potential compartment syndrome of the leg.
I would not choose Temporizing Ex-Fix of the RIGHT femur and tibia
3%
25/787
    • I would not be concerned for a Compartment Syndrome
    5%
    44/787
    • Perform Prophylactic Compartment Release - No need to measure compart pressures.
    14%
    111/787
    • Measure Compartment Pressure and Perform Fasciotomy if Elevated
    64%
    506/787
    • Other
    9%
    72/787
    • Outside of my area of expertise - best if I don't vote
    3%
    29/787
    • PROCEDURE #1 DOP: 6/20/2022

    1. Irrigation and Debridement of RIGHT Open Proximal TIbia Fracture. 2. Placement of External Fixation of RIGHT Distal Femur and RIGHT Proximal Tibia Fracture. 3. Antegrade Nailing of LEFT Closed TIbia Shaft Fracture

    icon
    OUTCOMES
    1 day after
    Post-procedure P1
    PROCEDURE #2 DOP: 6/22/2022

    1. ORIF Right Distal Femur Fx with Retrograde Nail. 2. ORIF Right Proximal Tibia Fx with Antegrade Nail. 3. Antegrade Nail Left TIbia Fx with Antegrade Nail

    Intra-procedure P2
    Intra-procedure P2
    icon
    OUTCOMES
    4 weeks after
    Post-procedure P2
    3 months after
    Post-procedure P2
    All Videos (6) Podcasts (0)
    Sort by
    EF
    L1\L2 Evidence
    Date
    if (User.IsAuthenticated()) { }