Medicalpediaover 6 years ago

#NSFWSensitive content 18+

This material contains content which some users might find distrubingSign up to unlock

Bike riding goes terribly wrong!

This patient was riding a bike when he fell and hit his leg on a rock, causing a deep laceration over his knee, reaching all the way to the bones. The exposed white part is the distal end of the femur. The knee is the most common lower extremity joint to sustain an open injury. Diagnosis and treatment of this injury is an orthopaedic urgency. Diagnosis starts with clinical exam and plain radiographs. Further diagnostic work-up includes using a CT scan (first choice) or SLT based on the clinical scenario. Treatment involves either open or arthroscopic irrigation and debridement and is dictated by the presence of a fracture, mechanism of injury, and amount of soft-tissue injury and contamination. Pre- and postoperative antibiotic therapy follows the guidelines for treatment of open fractures. Tag a friend and follow us @Medicalpedia for more extreme cases!