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Orthopaedic Physiotherapy  Post all your questions and comments about issues relating to orthopaedic physiotherapy in this forum. Ask advice about things such as arthritis, joint replacement, splinting & plastering or factors in treating the acute unstable fracture. |
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#1
25-11-2006, 02:46 PM
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Complicated Tibial #
Hey guys,
Totally confused.. plz help... patient is 32yr/M, had a Road traffic accident in march '06.. had a tibial lower 1/3 rd oblique fracture.. shd've been treated with ORIF but som orthopaedic treated it with plaster cast.. this lead to malunion.. the cast was applied for 6 months... now the patient has restricted range, tight quadriceps, immobile patella, Bow leg developing, limb length discrepancy... I've given him a raise to equal the length of both legs.. a lateral raise to slow down the varus leg developing... Still the range is restricted at 100.. tight quads limit flexion.. Stretching is continuing.. tryin to mobilize patella... wat more do i do.. It is not feasible for patient to re fracture and go through the agony again... PLZ HELP>>>     
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