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Floating Knee

Fractures of both the femur and the tibia results in an unstable middle segment, the floating knee . These injuries are fortunately rare and typically result from road traffic accidents. One or both fractures may be open and there is often associated head or thoracic trauma. Healing is slow due to the significant soft tissue trauma and it is difficult to maintain alignment of the limb. In view of this, it is recommended that at least one of the fractures should be surgically stabilised. The advent of ESIN which can be inserted with minimal soft tissue trauma has seen a trend towards internal fixation of both fractures, providing the local anatomy allows. This approach is precluded if one or other fracture is in close proximity to the joint. The fractures have been classified by Letts and Vincent (Letts et al. 1986). [Pg.138]

It s weirdly hallucinogenic. It makes you go, boy that s steep stairs I have to climb there, that you realized you climb in five minutes you know, and stuff, and it actually feels like you re going to float off the couch and stuff, you know. Your arm is over somewhere. I can remember like crawling down the stairs because the only thing that I trusted was my fingers and my knees. [Pg.312]

Attack the floating ribs from either the front or rear, but, if possible, strike the blow to your opponent s right side. The liver is located here just below the ribs, and the blow causes terrific shock to this organ. Attack this area with the knife edge of your hand (fig. 2B), the outside edge of your fist, the knuckles folded at the second joints, the heel, the toe, or the knee. [Pg.369]

I turned the key. The car started instantly. I fastened my seat belt. Nothing but a click. Steve got in the passenger seat, and we went for a test drive. We floated down the road. I couldn t hear a sound, but I decided it must be time to shift gears. I stomped around on the floor and grabbed Steve s knee before I remembered the car had automatic transmission. [Pg.549]

Main signs symptoms Irregular menstruation, dizziness, tinnitus, headache, soreness and weakness of the low back and knees, cold lower extremities, hot flashes, night sweats, irritability, insomnia, nocturia, frequent urination, a pale tongue with scant coating, and a fine, wiry, rapid, possibly floating pulse... [Pg.116]


See other pages where Floating Knee is mentioned: [Pg.133]    [Pg.138]    [Pg.146]    [Pg.133]    [Pg.138]    [Pg.146]    [Pg.275]    [Pg.121]    [Pg.1019]    [Pg.204]    [Pg.297]    [Pg.37]    [Pg.226]    [Pg.1379]    [Pg.131]    [Pg.157]    [Pg.724]    [Pg.725]    [Pg.385]    [Pg.385]    [Pg.180]   
See also in sourсe #XX -- [ Pg.138 ]




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