Q. A patient with below fracture has been admitted in emergency ward. The senior resident has asked you to put a pillow beneath the patient's injured extremity. Where would you put the pillow?
a. Below the leg longitudinally
b. Below knee
c. Above knee
d. Long pillow covering above and below knee.
e. No pillow
Answer -
c
The fracture described here is distal femur fracture and characteristic deformity in such fractures is posterior sagging of distal fragment due to pull of gastrocnemius attached posteriorly that pulls distal fragment posterior and downwards ( see below image).
The pillow works best slightly above knee joint to counter the pull of muscle and maintian alignment.
a. Below the leg longitudinally
b. Below knee
c. Above knee
d. Long pillow covering above and below knee.
e. No pillow
Answer -
c
The fracture described here is distal femur fracture and characteristic deformity in such fractures is posterior sagging of distal fragment due to pull of gastrocnemius attached posteriorly that pulls distal fragment posterior and downwards ( see below image).
The pillow works best slightly above knee joint to counter the pull of muscle and maintian alignment.
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