Tibial Plateau Fracture Research Paper

I have spoken with the home care nurse regarding the wound and the physical therapist and occupational therapist. The physical therapist recommended a front wheeled walker as his weight bearing activity was progressing, including his transfers and more independence. The occupational

I met Mr. Eigner at the office of Dr. Taha. Mr. Eigner reports he is not taking any pain medications at this time. He reports he has a jolting shooting pain to the right and left legs only occasionally. He denied any pain to his right forearm. X-rays taken showed good alignment and healing of the fracture. The incisions are all healed except for a couple small spots on the right ankle. There is some swelling to the right ankle which Dr. Taha said is to be expected. The range of motion to the left ankle and toes was good. The range of motion to the right stores was limited. Dr. Taha said there is scar tissue at times from this type of repair and he would like physical therapy to start working on that. He is still going to be non-weight bearing for another 6 to 8 weeks on the right leg. He is now allowed full weight bearing as tolerated to the left leg. Dr. Taha ordered a rolling scooter to aid with ambulation and stop using the wheelchair. I have contacted Reverence physical therapy and faxed the new orders so the service can begin. I will process the rolled scooter with directions from the adjuster. The attendant care and replacement services will continue through to the next appointment.

C. Intertrochanteric - refers to a fracture located between the greater trochanter and lesser trochanter of the femur:

This condition is diagnosed based on your symptoms, medical history, and physical exam. During the exam, your health care provider will check the range of motion, strength, and stability of your elbow. Your health care provider may also gently press your arm and elbow to find the source of pain. You may also have imaging studies, such as:

The second half of this is outline too brief and superficial to be very helpful. See these web sites that do a better job describing Ankle Fractures:

This means that because of her fragile bones her body weight is enough to break her humeral head in to fragments. Treatment for this fracture is surgical fixation of the fragments using plates and screws which also matches the treatment this patient received. It was noted that this patient underwent surgery to help the different fragments fuse back together. The MOI, symptoms and treatment for this patient matches with that of a comminuted fracture.

Bone fractures happen in different severities. Some only require immoblisation, while others need surgery to heal properly. The doctor often prescribes a cast walker or moonboot after he sets the bone in the right position either by itself or in addition to surgery at a certain point in the healing process. A moonboot will keep the bone stationary enough for the bone to knit completely back together successfully.

Two major classification are utilized, the Denis Weber, AO and the Lauge Hansen. The Denis Weber classified fractures as to the location of the fibula and the components of the ankle that have been injured. In the Weber type A fracture, The fibula is avulsed distal to the syndesmotic ligaments, and the medial malleolus is fractured vertically. (19)

You may need to wear a splint, brace, immobilizer, or cast for up to 6

Majority of the patients that suffer with this injury have to have an open reduction internal fixation (ORIF) in order to correct the issue. The open reduction internal fixation is said to be less invasive on the bone, ligaments, muscles, and tendons, it also will relieve pain and prevent a reoccurring dislocation of the metatarsal.4 After surgery the patient is non-weight bearing for six weeks then will slowly progress to full weight bearing over a course of a couple of months. As for the rehabilitation process, the patient will most likely be in physical therapy for a long period of time. Part of the rehabilitation plan for an LFD consist of picking marbles up with the toes and placing them into a container, tracing the alphabet with the injured foot, balance exercises, and theraband exercises. One of the reason for the rehabilitation process is to regain most of the range of motion back in the ankle and foot. It also helps with rebuilding strength in the muscles of the foot and

Treatment for this condition depends on the type of fracture. Most type I and some type II fractures can be treated without surgery. This treatment may include:

The type of fracture in the knee X-ray is an avulsion fracture of the tibia tubercle. Avulsion fractures are the result of tensile loading on the bone (McKinnis, 2014; Smith, n.d.). Fragments of bone are pulled away from the main body of the bone resulting from a tensile loading on the bone, through active muscle contraction or resistance of a ligament. Additionally, an avulsion fracture will appear radiolucent on a radiograph as a result of hemorrhage and the space between the bone fragment and main body of bone (McKinnis, 2014; Smith, n.d.). An avulsion fracture of the tibia most commonly is seen in athletic males, aged 14-16 years, during the time of the transitional phase of physeal closure just prior to completion of growth (Ertl, 2014).

Sit on the floor with your injured leg extended. You may put a pillow under your calf to give your foot more room to move.

Hold your crutches in the same hand as the hurt foot. Use your other hand to push yourself up and balance on your good leg while placing the other crutch in your other hand. (Show patient and then return demonstration). To sit down you will repeat these steps in reverse order. Back up to the chair or bed. Hold your crutches in the same hand on the hurt foot side, balance on your unhurt foot and use your hand to ease down onto chair. (Show patient and repeat

Move your leg on the harmed side as unreservedly and as effortlessly as your other leg. The leg on your harmed side feels as solid as the leg on the uninjured