Closed Reduction Speech

For phase on of recovery you should really rest it focusing mostly on reducing swelling so a knee bracket and ice is important small

We eventually ended up performing an excision of this portion of the meniscus. We left the anterior one half of the meniscus intact. We excised the posterior one half of the meniscus back to what we felt was a stable rim using a combination of basket forceps and the shaver. At this point then, we thoroughly irrigated the knee. We then

Post-surgery, your arm will be immobilized in a splint for at least a week. After a week you will be given an arm brace, which you will wear for most of your recovery. The brace limits your range of motion as you gradually gain it back. Physical therapy will take up to 12 months to complete. You will build up muscle in your arm and shoulder to gain strength and prevent another repeat of the injury. After therapy you will be able to throw and make your return to the diamond.

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.

Rest the patient by safely transferring him/her off the field and situate them in a comfortable stance, stabilising the injury to reduce bleeding. The athlete must not use the injured site for a minimum of 48-72 hours as it may cause additional haemorrhage and injury. Next, apply ice accompanied with a form insulating material onto the injured site for 20 minutes every hour for the first 72 hours to decrease pain, bleeding and swelling. Compression involves wrapping the injured area using a bandage, ensuring that it is not too tight or loose. This stabilises the injury and minimises bleeding and swelling. Elevation requires the injured site to be raised above the heart to decrease the amount of bleeding, swelling, throbbing and pain. The injury can be kept elevated using a soft cushion and must be aloft whenever possible. The athlete must be referred to a doctor or a physiotherapist as soon as possible after managing the injury. This will establish the severity and any rehabilitation needed as well as tips on treatment

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

Compression will help reduce and prevent swelling and can be applied immediately after injury at pitch side but only for 10 minutes at a time to avoid stopping the circulation. An elastic ankle support can provide mild compression throughout the healing process to help reduce swelling.

The surgical procedure. A total knee replacement is a surgical procedure where the diseased knee joint is completely replaced by artificial materials that resemble the original knee joint. The orthopedic surgeon removed the end of the femur and the end of the tibia by using metal pieces and sawing the bone, to ensure that he removes the right amount of bone. The end of the femur bone is replaced with metal and the end of the tibia bone is replaced with plastic and metal. A plastic piece was added under the patella because the surface under the patella was damaged as well. These artificial materials, called prosthesis, have smooth surfaces so when they rub against each other, it does not cause damage and is pain-free. The purpose of this surgery is to remove the diseased portions of the joint and replace it with artificial materials to prevent further deterioration and eliminate pain, stiffness, and decreases in function that were caused by the osteoarthritis.

Patellar dislocation is the process of the patella slipping out of the patellofemoral groove. On average, 5.8 out of every 100,000 people have patellar dislocation (Malanga, 2014). There are many ways in which patellar dislocation can occur; the four major dislocations are lateral, horizontal, vertical, and intercondylar. These four major dislocations cause individuals to often have extreme pain and often describe the pain being “inside the knee cap” (Dath, 2006, p. 6). Overall, individuals with this injury, a patient is going to need 6-8 weeks to recover from this injury and then perform physical therapy.

Approximately two weeks following surgery, the non-weight bearing splint and sutures are removed. The patient receives a boot or cast; however, the patient still needs to keep weight off of the foot for another four to six weeks.

Treatment for this condition depends on how severe the fracture was, which bone was fractured, your age, and your activity level. Treatment often involves wearing a cast or splint on your wrist. If any bones have moved out of place, your health care provider will move them back into place. This may be done with or without surgery. If surgery is needed, metal pins may be placed into your bone to hold it in place while it

Another option for correction is orthotic application. The use of orthotics help apply forces to relieve weight bearing stress on the tibia. While using this type of method, stretching exercises, strengthening exercises, and lower limb massages are also used to help with the process (Alsancak 2).

Doctor Rust said it would be about three months in a cast and about another

This is also known as “offloading”. Offloading is a non-operative treatment option. The patient will be required to use or wear a walking brace, an orthosis, a cast, or a protective splint. Another form of non-surgical treatment is a casting. Charcot can be treated by using a cast around affected area to reduce swelling, protect the foot and ankle and to allow for healing to take place. When a patient is in a cast he or she must not put weight on the cast as this could distort the healing process. While in a cast, a patient can use a wheelchair or crutches to aid them for mobility in important daily activities. Healing can last up to several months. However, the cast must be changed every one to two weeks to ensure it fits the patient comfortably as the swelling diminishes. A custom walking boot or orthosis, or a diabetic shoe may be recommended after the swelling is decreased to normal and bones are healed fully. These boots are designed to minimize the risk of foot ulcers developing post treatment. After the cast is removed, the patient will be prescribed to an orthotic shoe that appropriately fits their foot and relieves pressure at certain points. Bracing can be accompanied with an orthotic

The second factor is wether the intervention should be an arthroscopy procedure or a full joint replacement. An arthroscopy involves the inserting of an arthrocscope into the joint in order to undertake a lavage procedure. The aim is to remove particulate matter such as cartridge and debride articular surfaces of calcium and osteophyte’s, to leave them smooth. Arthroscopic procedures ideally should aim to decrease synovitis and restore mechanical function, which interferes with joint movement. In a comparative study by (Kirkley et al., 2008), the effects of arthroscopic surgery were assessed for individuals who had [K-L 3, 4] OA of the knee. The 1st group underwent an arthroscopic procedure with physiotherapy and medical management while the 2nd group just had physiotherapy and medical management.