Knoxville — A man fell approximately seven feet from a ladder this afternoon at Marion County Sportsmen's Club east of Knoxville. Knoxville Fire/Rescue, Marion County Emergency Management responded, with Mercy One. The helicopter was requested to immediately transfer the man to an orthopaedic surgeon in Des Moines. Assistant Fire Chief Greg Higginbotham said the care the victim needed would have only been delayed if taken anywhere else first. He was in need of immediate surgery.