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Case study

Case study
Presenting a patient to your colleagues Get feedback Collaborate on difficult patients A way of teaching and learning from one another.

Case study
Build clinical picture

Video, photos, or casts are very helpful


Present relevant assessment findings Present possible treatment options Pros/cons Ask for ideas, input Present treatment plan if you have decided Ask for feedback Outcome if already completed

Case study
Patient info (clinical picture) Age, sex, weight, height Dx Chief complaint, date of onset Rx ROM, MMT, sensation, pain, alignment Pertinent health information Goals, vocation, avocation Previous treatment Gait

Case study
Goal of treatment

Treatment options (any and all)


Pros/Cons of options Treatment plan rationale Often more than one solution Justify your choice If applicable Outcome (video/photos) Obstacles/Difficulties F/up

Example
E.K.

56 year old female


56, 230 lbs Failed surgery Hx infection, knee instability

Currently Painful ML laxity Clunking Flexion instability


Rx Custom KO 0-90 degrees

Example
Wearing an temporary ko c/o distal migration ROM WNL MMT WNL, 4/5 quads

ML laxity 15 degrees
3x surgical revisions, antibiotic spacers, etc. Not a good surgical candidate

Goal pain reduction, stability, postpone/prevent Sx


Stiff leg, abducted gait

Example
Tx options Attach foot piece to current knee orthosis

Quick, temporary, not longterm Medical covered, longterm?, custom leg Better fit, suspension?, Not covered Better fit, suspension, Not covered

OTS hinged KO with restricted ROM

Custom KO with restricted ROM

KAFO free ankle, restricted knee ROM

Example
Tx plan Attached foot piece to aid suspension (temp) TAR for custom KO photos, measurements Casted for Townsend KO
Medi-Cal denied KAFO Townsend - suspension guarantee

F/up
6/2010 dislocation Closed reduction immobilizer Antibiotic spacer 9/2010

Case study
Teamwork

Provide best care for patient


Help from colleagues People have expertise and experience in different areas By working as a team, we can learn from each other

Case study
Two people to a patient

Work together to assess, document and produce a

case study to present

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