A 35 year old man presents with an unstable vertical shear fracture of the pelvis after falling 10 m from a viewing platform. He has no other associated musculoskeletal injuries. He is in a shocked state.
You, as the Orthopaedic Surgeon on duty, are discussing the treatment with the patient, who is a lawyer and his General Practitioner wife on the day of injury.
Question 4. (½ hour)
A premenarchal 12 year old girl presents, following a tripping accident, with acute onset of severe pain in the left hip on weight bearing. There has been a history of vague ipsilateral knee and thigh pain for 3 months
Question 5. (½ hour)
A 65 year old female with widespread joint involvement from sero positive rheumatoid arthritis of ten years duration presents with a six month history of increasing difficulty walking because of a painful and deformed right knee
You and your patient agree that total knee replacement is the best treatment option.
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