课件：膝关节脱位.pptx

TRAUMATIC KNEE DISLOCATIONS,Case 1,M/25 Company man Car accident Good past health，No other joint dislocation, No joint laxity PE: Deformity，the pulse , sensation, movement of the foot is normal No chest and abdomen injury,07-15th X-Ray,X-Ray after immediate close reduction,Ultrasound after CR,The arteries and veins of lower limbs are normal,MRI (3 days post reduction),MCL repair (23th July),Arthroscopic assisted arthrolysis due to stiffness(10-80 degree) on 24th September,Re-check MRI (28th Oct),PE: Lachman test (-) Anterior and posterior draw test(+-) Step-off sign(+) Sag sign(+) ROM:5-120 degree,PCL Reconstruction(4th Nov),Case 2,17/M Falling injury,Be received PLC reconstruction 20th April,ACL &PCL reconstruction,Case 3,M/42 Be hurted by a falling object 5 months ago,Right ACL & PCL &MCL rupture,ACL &PCL Reconstruction,Diagnosis,Deformity Pain Swelling Pay more attention to those cases: Spontaneous reduction before medical evaluation,CLASSIFICATION,open or closed high velocity, low velocity, or ultralow velocity; anterior, posterior, medial, lateral, or rotary,Schneck classification,Dislocation means mutiple ligaments injury,Associated Injury,Vascular injury Ligament injury Nerve injury Fracture Osteochondral fracture Meniscal tears,Vascular injury,The first priority in the assessment and treatment of traumatic dislocations of the knee is :The vascular status Ankle Brachial Pressure Index (ABPI),Treatment Algorithm for knee dislocation,Treatment,Close reduction and plaster immobilization 30 to 45 degrees of knee flexion Immediate surgery indications: arterial injuries, open injury, compartment syndrome,Treatment,Ligament repair or reconstruction,Rescult,Operative treatment has been shown to produce better range of motion and higher functional scores than nonoperative treatment All the patients who suffered from knee dislocation can not fully recovered,Rehabilitation Protocol After Multiple Ligament Reconstruction,Thank You !,后面内容直接删除就行 资料可以编辑修改使用 资料可以编辑修改使用 资料仅供参考，实际情况实际分析,感谢您的观看和下载,The user can demonstrate