1.

23 years old male exposed to RTA and developed crush injury severely contaminated,
comminuted fracture and lost large amount of soft tissue of the thigh while the femoral
pulsation was detected with good sensory and motor function.

a. Which classification is suitable for this classification?

b. Which type of the classification can be administered?
c. What is the management of this condition in details?

2. Open fracture of the ankle joint with dislocation of the tallus (Subluxation of the tallus, and
there is distal fibular fracture)

60 years old female obese, few days , come from Hargeisa, night prayer, she fell down, she
was not feeling any pain, while she had fracture, the opening was in the medial side, which is
good prognosis, she is diabetic, hypertensive and BMI > 36.
Type II – Weber Classification

Management is restoring fibular length, then tallus will go to its position.

a. K-wire in the medial malleolar – because it’s open fracture rather than real fixation
of screw.

3. Femoral shaft spiral fracture, long plate fixation, ORIF

4. Bajaj man (bilateral femoral fracture) explosion, he got fractured in the right distal 1/3 of
femur and the left proximal 1/3 of the femur,) = bilateral nailing.
5. Distal femoral fracture, another fracture, distal femoral plating, she insisted on removing,
she got fracture again, retrograde nailing was done.
6. Total knee replacement, then he got fractured in the distal femur fracture, lateral distal
femoral blocking plate. Sheikh Ali from Heliwaa
7. Forearm complex fracture, mx= ORIF bilateral
8. Femoral neck fracture, garden classification, complicate fracture, = Type III complete
fracture with partial displacement, mx = bipolar hemiarthroplasty.

Ortho OSCE

1. Congenital Talipes Eguino Varus "Club Foot"

2. Left mid clavicular displaced fracture
a. Management – arm sling, indication for surgery = correction of complication (either
open, malunion, or neurovascular injury = ORIF with Clavicular Shaped Plate)
3. Right shoulder dislocation (posterior is common)
a. Methods – Kocher, Stampton, and
4. Dinner fork fracture – Colle’s’ fracture, mx = close reduction
5. Intermedullary nailing for reverse oblique (extended deep to subtrochanteric) for highly
unstable trochanteric – for type III and Type IV. Dynamic Hip Screw – Unstable trochanter for
type I and II