Tibial Plateau Fracture in 36F
PRESENTATION
7
POLLS
10,727
OUTCOMES
19
VIDEOS
3
EVIDENCE
51
Comments
149
CASE DESCRIPTION
| AGE | 36 / Female |
| CC | Right knee pain |
| HPI | A 36-year-old female presents to the ED after a bicycle crash with right knee pain. She is very stoic and refuses any pain medication for her injuries. She denies any other injuries. Denies numbness or tingling of the foot. |
| PMH | PMH: non-contributory |
| PE | Focused physical examination of the right lower extremity reveals significant swelling and bruising with firm compartments. The patient is TTP over the proximal tibia. She is neurovascularly intact. Her Diastolic BP is 50 mm Hg. Needle compartment measurements are: Anterior - 34 mm Hg Lateral - 34 mm Hg Superficial Posterior - 25 mm Hg Deep Posterior - 19 mm Hg |
Pre-procedure IMAGES:
POLLS
OB Community
CASE OUTCOMES
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PROCEDURE 1:
Right knee spanning external fixation + 4-compartment fasciotomy (through single lateral incision)
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Intra-procedure P1
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Post-procedure P1
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PROCEDURE 2:
Open reduction and internal fixation of right tibial plateau fracture (2 stages)
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Intra-procedure P2
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Post-procedure P2
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EVIDENCE (51)