Injuries to bones and joints of the leg Patella and tibia

Injuries to bones and joints of the leg Patella and tibia -...

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Injuries to bones and joints of the leg Patella and tibia Patella Fracture Caused by direct fall onto the knee Intrarticular fracture Loss of knee extension Ligaments either side will also be ruptured Fixed with a Patellectomy or via wiring the fragments together Fractures of the Tibial Plateau Intrarticular fracture Causes either Valgus or Varus deformity Tibial Shaft Fracture Caused by direct trauma or rotational strain Causes bleeding into the muscle compartment causing compartment syndrome and ischaemic contracture o Check foot pulses o Elevate foot o Split fascia layers to release blood Fixed by o External mobilisation with a plaster cast o Internal immobilisation with a tibial nail and proximal and distal screws
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Unformatted text preview: Ankle and foot Ankle fractures • Ankle Mortice • Medial Malleolus • Lateral Malleolus • Intrarticular fractures associated with severe pain – Potts fracture • Restore ankle anatomy with metal plates and screws Ankle sprain • Usually the Anterior talofibular ligament • Can heal naturally but may also need surgical repair Os Calcis Fracture • Subtalar joint • Intra-articular element of injury • May lead to arthritis Fracture of the 5 th Metatarsal • Usually at the base of the 5 th metatarsal • Tendon attachment is stronger than the bone • Tendon pulls off base of the 5 th metatarsal • Generally heal well if immobilized...
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Injuries to bones and joints of the leg Patella and tibia -...

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