Open Tibia Fracture with Compartment Syndrome

1981 ◽  
Vol &NA; (160) ◽  
pp. 175???184 ◽  
Author(s):  
JESSE C. DELEE ◽  
JAMES B. STIEHL
Keyword(s):  
Compartment Syndrome ◽  
Tibia Fracture ◽  
Open Tibia Fracture

Open tibia fracture with compartment syndrome

1982 ◽  
Vol 70 (5) ◽  
pp. 654
Author(s):  
Stephen H. Miller ◽  
J C DeLee ◽  
J B Stiehl
Keyword(s):  
Compartment Syndrome ◽  
Tibia Fracture ◽  
Open Tibia Fracture

scholarly journals Does the shoe-lace technique aid direct closure of fasciotomy wounds after acute compartment syndrome of the lower leg? a retrospective case-control study

2021 ◽  
pp. 145749692110196
Author(s):  
P. Suomalainen ◽  
T.-K. Pakarinen ◽  
I. Pajamäki ◽  
M. K. Laitinen ◽  
H.-J. Laine ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Outcome Measurement ◽  
Controlled Trial ◽  
Lower Leg ◽  
Conventional Technique ◽  
Tibia Fracture ◽  
Acute Compartment Syndrome ◽  
Retrospective Case ◽  
Direct Closure ◽  
Patient Database

Background & aim: Tibia fractures are relatively common injuries that are accompanied with acute compartment syndrome in approximately 2% to 20% of cases. Although the shoe-lace technique, where vessel loops are threaded in a crisscross fashion and tightened daily, has been widely used, no studies have compared the shoe-lace technique with the conventional one. The aim of this study was to compare the shoe-lace technique with the conventional technique. Materials and Methods: We identified 359 consecutive patients with intramedullary nailed tibia fracture and complete medical records including outpatient data between April 2007 and April 2015 from electronic patient database of our institute. The use of the shoe-lace technique was compared to conventional one (in which wounds were first left open with moist dressings). Main outcome measurement is direct closure of fasciotomy wounds. Results: From 359 consecutive patients with intramedullary nailed tibia fracture, fasciotomy was performed on 68 (19%) patients. Of these, the shoe-lace technique was used in 47 (69%) patients while in 21 (31%) patients, the shoe-lace technique was not applied. Side-to-side approximation was successful in 36 patients (77%) in the shoe-lace+ group and 7 patients (33%) in the shoe-lace– group (p = 0.002). Conclusion: The main finding of our comparative study was that the shoe-lace technique seems to ease direct closure of lower leg fasciotomy wounds, and thus reduces the frequency of free skin grafts. Our finding needs to be confirmed in a high-quality randomized controlled trial.

scholarly journals Escherichia hermannii as the sole cause of osteomyelitis in a patient with an open tibial shaft fracture

2019 ◽  
Vol 12 (11) ◽  
pp. e231206
Author(s):  
Jocelyn Compton ◽  
Malynda Wynn ◽  
Michael C Willey ◽  
Poorani Sekar
Keyword(s):  
Shaft Fracture ◽  
Open Reduction Internal Fixation ◽  
Fracture Site ◽  
Tibia Fracture ◽  
Tibial Shaft Fracture ◽  
Primary Wound Closure ◽  
Irrigation And Debridement ◽  
Open Tibia Fracture ◽  
Monomicrobial Infection

Escherichia hermannii is a rare monomicrobial cause of infection in humans. E. hermannii has never before been reported as the sole isolate from an infected open tibia fracture. We present a case of E. hermannii infection after a type III open tibia fracture. The patient was initially treated with irrigation and debridement, open reduction internal fixation and primary wound closure. However, after 8 weeks, he developed a draining wound and infection at the fracture site. He required a repeat debridement, hardware removal, external fixation and 6 weeks of intravenous ceftriaxone for treatment. At 2-year follow-up, he remains infection free, asymptomatic and continues to work with excellent functional outcomes. This case adds to the growing literature that evidences E. hermannii as an organism that can be pathogenic, virulent and cause monomicrobial infection.

scholarly journals Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture: Treatment with Acute Deformity and External Fixation

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Chelsea E. Minoughan ◽  
Adam P. Schumaier ◽  
Frank R. Avilucea
Keyword(s):  
Soft Tissue ◽  
Wound Closure ◽  
Distal Tibia ◽  
Soft Tissue Defect ◽  
Fracture Site ◽  
Tibia Fracture ◽  
Primary Wound Closure ◽  
Tissue Healing ◽  
Intramedullary Canal ◽  
Open Tibia Fracture

Case. A 31-year-old male was involved in a dirt bike accident and sustained an isolated type II open mid-distal tibia fracture. The patient underwent suprapatellar intramedullary nailing and subsequently developed knee sepsis. Conclusion. This patient was managed with irrigation and debridements of the knee, fracture site, and intramedullary canal. A resultant soft-tissue defect over the fracture site obviated primary closure. Creation of an acute deformity stabilized by a Taylor spatial frame allowed primary wound closure. After soft tissue healing occurred, the frame was used to correct the intentional deformity and maintain reduction until full healing occurred.

scholarly journals Acute Septic Arthritis Following Supra-Patellar Nailing of an Open Diaphyseal Tibia Fracture in an Immune Compromised Patient

2018 ◽  
Vol 1 (3) ◽  
pp. 130-134
Author(s):  
Henry Goodnough L ◽  
◽  
E Hall Kimberley ◽  
E Krygier Jeffrey ◽  
P Comstock Curt ◽  
...  
Keyword(s):  
Septic Arthritis ◽  
Tissue Injury ◽  
Rare Complication ◽  
Soft Tissue Injury ◽  
Chronic Phase ◽  
Tibia Fracture ◽  
Femur Fractures ◽  
Tibia Fractures ◽  
Open Tibia Fracture ◽  
Review Current

The supra-patellar approach represents one approach to intramedullary nailing (IMN) of diaphyseal tibia fractures. Violation of the knee joint utilizing an intra-articular start point represents a risk for septic arthritis of the knee in the post-operative period. Previous retrospective studies of open tibia and femur fractures demonstrated that post-operative knee sepsis is rare, occurs in the chronic phase after injury, and due to extent of soft tissue injury rather than immune compromise. Here, we review current literature on post-operative knee sepsis, and present a case of acute septic arthritis of the knee following supra-patellar nailing of an open tibia fracture in a patient on chronic immune suppression. In this unique case, co-morbid patient factors likely led to this manifestation of a rare complication.

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