【徒手整復】膝関節前方脱臼 Reduction of Knee Dislocation Technique

膝関節前方脱臼の徒手整復です．転位の程度によりますが靱帯損傷が併発する頻度は高く，骨損傷が併発していることもあります．重篤な併発症として膝窩動脈損傷があり，脱転した骨による一時的な牽引（圧迫）であれば，可及的早期に整復することで壊死を防止できます．膝窩部で拍動性血腫を認める場合は，血管損傷による内出血が考えられ，医療機関への救急搬送が必要です．
応急手当として徒手整復を実施する場合，二次損傷を起こさないように愛護的に行い，整復に伴う異常な疼痛を訴える場合は直ちに中止すべきです．整復が完了すれば，疼痛は急激に軽減しますが，まず，血流や感覚の異常を確認し，次にばね様固定の消失を確認します．その後は，良肢位で固定し医療機関を紹介します．

[@yesuratnam4696]

Super treatment

[@mohamedelshrqawe1467]

شكرا جزيلا لحضرتك يا دكتور بالتوفيق للجميع والف سلامه على المريض شكرا جزيلا يا دكتور

[@juansipag2206]

Good Job Doc!

[@user-ew3zy4ti2c]

Чудо доктору браво молодцы

[@evidencebasedjudotherapyeb1492]

Я ценю это.

[@nitinnegi7659]

So relaxasing😘

[@tannuaviraj521]

Waheguru ji Waheguru ji 🙏🏻

[@warlockmachine9313]

wow its hard to watch but its satisfying

[@abokun]

えぐいな…

[@GopiGopi-mq1zh]

Super sar

[@vigneshk468]

Doctor this bowleg right
Bow leg. Cure this therapy??

[@zulfines850]

Amazing

[@evidencebasedjudotherapyeb1492]

Thank you. It means a lot to me.

[@shakaibali6459]

Need post reduction angiography for popliteal vessel

[@evidencebasedjudotherapyeb1492]

Thank you for your comment.
You are right. I referred the patient to a specialist.

[@sohanbhowmick267]

It is so satisfying..

[@evidencebasedjudotherapyeb1492]

I appreciate it.

[@swapnilyadav6859]

Same bro❤️👍

[@rafaelmachado8322]

Ainda bem que tem legenda 😅😅

[@luizogrande9862]

Se não eu não entenderia kk

[@evidencebasedjudotherapyeb1492]

Desculpe ...

[@evidencebasedjudotherapyeb1492]

@@luizogrande9862 Desculpe ...

[@physioinfo6985]

Pls do subtitles for in English ,, I don't know this language ❤️

[@vikrantpawar6330]

Vikrant

[@ryomensukuna8123]

It looks as if fixing a prosthetic leg , damn it looks cool 😎

[@madadyoussef2520]

Yes

[@evidencebasedjudotherapyeb1492]

I appreciate it.

[@tannuaviraj521]

☝🏻🤲🏻🥺

[@ukhatton3833]

Yah Allah grade 👍

[@ameerkenza4722]

MASHAA.ALLAH 👍👍🌹🌹🌹🌹🌹

[@heartbeathari212]

அடி ஆதி 😨

[@user-zj4xh1ji6m]

Салам 3