You Gotta Love: Orthopaedics! Mr Lee Van Rensburg Consultant orthopaedic surgeon Cambridge 2011.

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Presentation transcript:

You Gotta Love: Orthopaedics! Mr Lee Van Rensburg Consultant orthopaedic surgeon Cambridge 2011

DOWNSIDE

2009 4% consultant body 12% Training grade

Hip surgeon

Hand surgeon

Foot surgeon

20 YO, Male #BOS #Nasal bone APC pelvic injury # R Supracondylar femur # R Tibia shaft (open) # L Tibial plateau (open) # Bimalleolar L ankle

Pre hospital Intubated through window Pre hospital arrest Hr 144, Systolic 60 GCS 3

Theatre 27/05/06 External fixator Pelvis R leg L leg Debridement washout, fasciotomy and vac dressing R thigh R lower leg L lower leg Laparotomy EVD

Theatre – 01/03/06 Plating pubic symphysis Intramedullary nail R femur retrograde R tibia Change of Vacs

Theatre 05/03/06 ORIF L Tibial plateau ORIF L fibula Free Flap R tibia Rotation flap L Tibia

Joint Replacement