clinical cases trauma
DESCRIPTION
WIROC Clinical Challenges 2009TRANSCRIPT
![Page 1: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/1.jpg)
WIROC Clinical Cases
Challeneges
Compiled by Sushrut Babhulkar
![Page 2: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/2.jpg)
CASE ONE
![Page 3: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/3.jpg)
35 yrs , male, RTA.
What type of fixation to be used?
![Page 4: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/4.jpg)
Gamma Nail AP
Problems….
![Page 5: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/5.jpg)
5 months later…What to do ??
![Page 6: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/6.jpg)
Planning
![Page 7: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/7.jpg)
![Page 8: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/8.jpg)
![Page 9: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/9.jpg)
CASE 2
![Page 10: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/10.jpg)
40 yrs / F / Hit & Run110 Kg weightWhat to do?
![Page 11: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/11.jpg)
2 yrs later..Functional Movements.
![Page 12: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/12.jpg)
2 yrs later..Functional Movements.
![Page 13: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/13.jpg)
![Page 14: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/14.jpg)
![Page 15: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/15.jpg)
What are the treatment Options ?Surgery / No Surgery?
Fixation?What to Fix?
What Approach ?What Implant?
![Page 16: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/16.jpg)
![Page 17: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/17.jpg)
![Page 18: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/18.jpg)
![Page 19: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/19.jpg)
CASE 3
![Page 20: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/20.jpg)
55 yrs / Female
Good Health
Fall
![Page 21: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/21.jpg)
![Page 22: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/22.jpg)
![Page 23: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/23.jpg)
![Page 24: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/24.jpg)
![Page 25: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/25.jpg)
![Page 26: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/26.jpg)
CASE 4
![Page 27: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/27.jpg)
55 yrs / M / RTA.
Implant Choice ?
Open / Closed ?
![Page 28: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/28.jpg)
![Page 29: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/29.jpg)
Grafting : yes / no ?
![Page 30: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/30.jpg)
![Page 31: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/31.jpg)
![Page 32: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/32.jpg)
Case 5
VP, 49 yrs , Male
RTA
Grade II Open
![Page 33: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/33.jpg)
Compound Grade II Injury
![Page 34: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/34.jpg)
![Page 35: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/35.jpg)
![Page 36: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/36.jpg)
![Page 37: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/37.jpg)
![Page 38: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/38.jpg)
![Page 39: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/39.jpg)
![Page 40: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/40.jpg)
![Page 41: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/41.jpg)
![Page 42: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/42.jpg)
![Page 43: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/43.jpg)
![Page 44: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/44.jpg)
![Page 45: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/45.jpg)
![Page 46: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/46.jpg)
![Page 47: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/47.jpg)
Case 6
AS, 24 yrs , Male
RTA
Grade I Open
![Page 48: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/48.jpg)
![Page 49: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/49.jpg)
![Page 50: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/50.jpg)
![Page 51: Clinical Cases Trauma](https://reader036.vdocument.in/reader036/viewer/2022062405/5576b3f4d8b42ad0448b4be7/html5/thumbnails/51.jpg)