X-RAY REVISION YOU WILL SEE A SLIDE TRY TO MAKE YOUR OWN COMMENT, THEN MOVE TO NEXT SLIDE FOR ANSWER...

Post on 22-Dec-2015

213 views 0 download

Tags:

Transcript of X-RAY REVISION YOU WILL SEE A SLIDE TRY TO MAKE YOUR OWN COMMENT, THEN MOVE TO NEXT SLIDE FOR ANSWER...

X-RAY REVISION

• YOU WILL SEE A SLIDE TRY TO MAKE YOUR OWN COMMENT, THEN MOVE TO NEXT SLIDE FOR ANSWER OR COMMENT.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Nonunion proximal tibia in arthritic knee.• Osteochondral lesion femoral condyle.• OA knee.• Fracture patella.• Osteolytic lesion proximal tibia.• Intraarticular fracture distal femur.• Intraarticular fracture proximal tibia.• Salter type two fracture distal femur.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Osteoarthrosis left hip

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Neglected bilateral hip dislocation.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Osteolytic expansile tumor proximal humerus.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Nonunion neck left femur.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• K-wire intramedullary fixation of fracture radius and ulna.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Open book fracture pelvis.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Comminuted fracture distal femur.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Pathological subtrochanteric fracture right femur. Note unhealthy bone texture.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• ORIF, plating proximal femur by DCS (dynamic condylar screw).

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Don’t panic!!!!!!!!!!!

• Pathological fracture proximal femur in expansile lesion.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Multiloculated expansile lesion proximal tibia. With expected pathological fracture.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Right hip subluxed and adducted.

• Pelvis tilted.

• Left hip dysplastic.

• Features seen in paralytic patient.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Features of subchondral fractures in AVN.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Total knee replacment.(arthroplasty).

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Right hip hemiarthroplasty.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Supracondylar fracture elbow with k-wires fixation.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Answer

• Segmental fracture left femur.

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Comment

• This is your homework.!!!!!!!!

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby

Comment

• Another homework!!!!!!!

Dr Saleh W Alharbyalharby@ksu.edu..sahttp:/faculty.ksu.edu.sa/DrSalehAlharby