Evolution in the Acute Management of Open Fracture Treatment? Part 2

2021 ◽  
Vol 35 (9) ◽  
pp. 457-464
Author(s):  
H. Claude Sagi ◽  
Michael J. Patzakis
Keyword(s):  
Open Fracture ◽  
Fracture Treatment ◽  
Acute Management ◽  
Open Fracture Treatment

scholarly journals Infected Seymour-Type Fracture

2018 ◽  
Author(s):  
Pedro Martins Branco ◽  
Carolina Baptista ◽  
Carlos Maia Dias ◽  
Gonçalo Martinho ◽  
Manuel Oliveira ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Open Fracture ◽  
Fracture Site ◽  
Fracture Treatment ◽  
Germinal Matrix ◽  
Basic Principles ◽  
Nail Bed ◽  
Type Fracture ◽  
Open Fracture Treatment ◽  
Phalangeal Fractures

Extra-articular, transverse, distal phalangeal fractures that involve the physis, are termed Seymour fractures. They are frequently associated with an avulsion of the nail and a laceration of the nail bed. For this type of fractures, sur-gical intervention is needed to explore the fracture site for soft tissue interposition. Its failure may result in several complications. The authors report an adult Seymour-type fracture, which developed an infection due to interposition of the germinal matrix of the nail complex on the fracture site. The purposes of this article are to demonstrate that this rare fracture can also occur in adults, highlight the importance of treating this injury with the basic principles of open fracture treatment, and evidence one of its complications if not well treated.

Acute Management of Major Trauma Involving the Foot and Ankle with Hoffmann External Fixation

Foot & Ankle ◽  
1981 ◽  
Vol 1 (6) ◽  
pp. 348-361 ◽  
Author(s):  
John E. Kenzora ◽  
Charles C. Edwards ◽  
Bruce D. Browner ◽  
James G. Gamble ◽  
Jivaka B. DeSilva
Keyword(s):  
External Fixation ◽  
Open Fracture ◽  
Major Trauma ◽  
Ankle Arthrodesis ◽  
Easy Access ◽  
Acute Management ◽  
Foot And Ankle ◽  
Fracture Dislocations ◽  
Tract Infections

Massive trauma involving the foot was treated by external fixation in 33 cases and followed for 1 to 3 years. Amputations were performed in seven (21%) because of uncontrollable deep sepsis in two and massive injury in five. The other 26 (79%) had functionally acceptable feet at follow-up, but all had some stiffness and cosmetic deformity. Complications attributed to the Hoffman external fixation were limited to three pin tract infections. We recommend Hoffmann external fixation when it is necessary to: 1) stabilize major open fracture dislocations; 2) maintain length where bone is lost or extensively comminuted; 3) prevent soft tissue contractures; 4) control joint position for delayed ankle arthrodesis; and 5) provide easy access for soft and bone tissue reconstructions.

Open Fracture

2020 ◽  
Author(s):  
Keyword(s):  
Open Fracture

Management of a Complex Lower Limb Open Fracture in a Teenage Patient: A Case Report

2018 ◽  
Vol 64 (5) ◽  
pp. 47-52
Author(s):  
Davor Mijatovic ◽  
Sanda Smud Orehovec ◽  
Tomislav Dapic ◽  
Vilena Vrbanovic Mijatovic
Keyword(s):  
Case Report ◽  
Lower Limb ◽  
Open Fracture

Necrosis avascular

2020 ◽  
Vol 63 (2) ◽  
pp. 18-23
Author(s):  
Alejandro Jardón Gómez ◽  
Ana Cristina King ◽  
Carlos Pacheco Díaz
Keyword(s):  
Femoral Head ◽  
Avascular Necrosis ◽  
Femoral Fracture ◽  
Open Fracture ◽  
Clinical Presentation ◽  
Femoral Fractures ◽  
Proximal Femoral Fracture ◽  
Young Population ◽  
Steroid Use

The clinical presentation of a proximal femoral fracture is completely different between young and adult patients. Unlike closed proximal femoral fractures, the incidence of exposed fractures is found in the young population between 15 and 30 years of age. Osteonecrosis of the femoral head is one the complications we can find in this type of fractures. Avascular necrosis (AVN or osteonecrosis) is defined as the interruption of blood supply to the femoral head due to trauma, infectionalcohol or steroid use, resulting in bone necrosis, joint collapse and osteoarthrosis. The treatment will depend on the clinical presentation, age of the patient and when the diagnosis is made. This is a case report of a 16-year-old patient with a gunshot wound on the hip. Surgical cleansing and closed reduction plus internal fixation with a nail in the center of the spine were performed. A 3-year clinical and radiographic follow up was made, observing the evolution of the fracture and the subsequent avascular necrosis that the patient presented. Key words: Proximal femoral fracture; hip; avascular necrosis (AVN, osteonecrosis); open fracture; osteoarthritis.

scholarly journals Cost comparison in hip fracture treatment

1991 ◽  
Vol 62 (sup241) ◽  
pp. 38-39 ◽  
Author(s):  
Karl-GÖRan Thorngren
Keyword(s):  
Hip Fracture ◽  
Cost Comparison ◽  
Fracture Treatment
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