Ortopedia y Traumatología. Cirugía de Columna: Discusión entre pares / / Swelling +++, blisters ++, young male,adviced patient for waiting for some 15-20 days. Treatment plan please

Indian-Orthopaedic Research-Group

Ashish Khandelwal

Swelling +++, blisters ++, young male,adviced patient for waiting for some 15-20 days.
Treatment plan please.

Shivaprakash S Gowda Remove pop slab..keep limb elevated/at d level of heart.. !!! Wait..closely monitor for compartment syndrome..

hace 22 horas · Me gusta
Neeraj Choudhary Span scan plan

hace 22 horas · Me gusta · 4
Pradeep Kamboj When blebs there compartment syndrome already there .... why not fasciotomy and ex fix

hace 21 horas · Me gusta · 4
Ajay Surwade Is der any corelation between blebs n compartment syndrome

hace 21 horas · Me gusta
Hossam Almaz Ex fix

hace 20 horas · Me gusta
Mohamed Zafer El-Arkan External Fixator

hace 20 horas · Me gusta
Freddy F Galvis Gomez external fixation tree month and later funcional sarmiento cast.

hace 20 horas · Me gusta
Lokesh Bhatia Such cases never wait more than 24 hrs to go ahead with Fasciotomy, Ex Fix. Compartment Syndrome is Clinical Diagnoisis, High index of suspicion is key to success, Although you have not mentioned about his of proportion Pain, which is the key feature for diagnosing CS, but if it so don't wait go ahead with emergency Fasciotomy. One never loses anything in over diagnosing Compartment syndrome then risking the limb your reputation, If in doubts take more colleagues opinion, or simply go ahead and do it missing CS is disaster for pt. Delaying Fasciotomy is also disaster, it is not recommended to do it more than 24 hrs, but earlier the better. As limb is vascular jeopardy Ex Fix is justified as Damage Control Orthopaedics let it settle down but Fasciotomy and Skeletal stabilisation will improve limb circulation, Do not hesitate in involving Vasular Surgeon, If thinks necessary go ahead with CT Angio to confirm Limb Vascularity, in case, even after emergency procedure you still vascularity is not better. the concern here is limb and not Good looking Post op Xray.

hace 20 horas · Me gusta · 3
Amine Benhima Ilizarov or hybride external fixation

hace 17 horas · Me gusta · 3
Jagseer Sidhu One or two screws for articular fracture. one inter fragmentry antero posterior screw. Then 2 full ring plus one 5/8 ring Elizarov. After that swelll

hace 14 horas · Me gusta
Jagseer Sidhu Swelling will subside in few days

hace 14 horas · Me gusta · 1
Wares Rpmc illizerov

hace 13 horas · Me gusta
Rakam Singh Meena Helmet jess fixater

hace 13 horas · Me gusta
Mukesh Gupta Gupta dear ashish sir please apply a below tibial pin for taction for 15 day than chack x ray than decide

hace 13 horas · Me gusta · 2
Harsh Abhay Fasiotomy then graft n ring fixator

hace 13 horas · Me gusta
Anurag Sharma Hybrid fixator span the joint

hace 12 horas · Me gusta
Naresh Kumar Krishnamurthy better to go ahead early. can you send the clinical pics? if it is not a established compartment syndrome then can do a mini-incision fasciotomy reduce joint line, slide a lateral plate and leave the fasciotomy open. closely monitor post op.

hace 12 horas · Me gusta
Mohan Pullagura 1. Span, scan and plan
2. Let swelling settle, monitor CS
3.Anatomic reduction rigid fixation of joint surface
4. Relative stability with long licking plates

10 horas · Me gusta · 3
Nofal Almalky ct scan for evaluate coronal plane fracture then ex fix later on anatomical reduction articular surface +lcp on lateral aspect+posterior lcp if coronal plane fracture there

7 horas · Me gusta · 1
Sanjay Sharma ilizarov

4 horas · Me gusta
Gopal Goel span scan and plan

2 horas · Me gusta
Santosh Rawat Blisters are seen frequently after such fractures, only a fraction develop compartment syndrome. If patients does not have stretch pain, there is no need to panic. Elevate on BB splint, foot higher than knee, cold compresses and sit tight for a couple of weeks. Have a CT with 3D recon and plan your fixation