Compound lower limb fracture with multiple knee ligament injury and vascular complications. Phasic management involving external fixator,surgical nailing and arthroscopic reconstruction of ligaments.

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Compound lower limb fracture with multiple knee ligament injury and vascular complications. Phasic management involving external fixator,surgical nailing and arthroscopic reconstruction of ligaments.

A 28 yr old male met with road traffic accident on 19/12/13. Compound right lower limb # with segmental displacement of femur and angular displacement # of  tibia and fibula along  with multiple knee ligament injury.
– PLC
– LCL
-Poplitial
All these injuries were associated with vascular complications.
MANAGEMENT-
The case was managed in choithram hospital and research centre.
PHASE 1-
Vascular repair.
External fixators.

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Phase 2: Nailing for fractured bony segments with ligament reconstruction.

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Phase 3 – Skin grafting.

Followup – 6 months postop pt is active and walking well with painfree and complete range of motion.

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