scholarly journals Acute atraumatic bilateral acetabular insufficiency fractures

2019 ◽  
Vol 27 (2) ◽  
pp. 230949901985857
Author(s):  
Daniel Benz ◽  
Patrick Lim ◽  
Zsolt J Balogh
Keyword(s):  
Case Report ◽  
Significant Risk ◽  
Early Mobilization ◽  
High Energy ◽  
Acetabular Fractures ◽  
Insufficiency Fractures ◽  
High Energy Trauma ◽  
Less Invasive

Bilateral acetabular fractures have been documented in the setting of high-energy trauma, but few reports regarding atraumatic bilateral acetabular fractures exist. The following is a case report of bilateral insufficiency acetabular fractures which occurred acutely in the absence of trauma in a 49-year-old female. The case highlights the importance of perioperative awareness of those patients at significant risk of insufficiency fractures and offers a relatively elegant, less invasive solution for early mobilization in the context of acetabula insufficiency fractures.

Intra-articular Transcalcaneal Fracture-Dislocation Associated With Ipsilateral Transtalar Fracture: A Report of a Rare Combination

2020 ◽  
Vol 13 (4) ◽  
pp. 335-340
Author(s):  
Danilo Ryuko Cândido Nishikawa ◽  
Bruno Rodrigues de Miranda ◽  
Fernando Aires Duarte ◽  
Guilherme Honda Saito ◽  
Rogério Carneiro Bitar ◽  
...  
Keyword(s):  
Case Report ◽  
High Energy ◽  
Fracture Dislocation ◽  
Calcaneal Fractures ◽  
Short Term ◽  
High Energy Trauma ◽  
Rare Combination ◽  
Severe Bone Loss ◽  
Neck Fracture

The association of ipsilateral talar and calcaneal fractures is an uncommon combination and is typically the result of a high-energy trauma. It is often associated with comminution, marked fracture displacement, and soft-tissue compromise. Obtaining satisfactory clinical and radiographic results is very challenging. Residual deformities, multiple procedures, and limitations are usually the norm. Therefore, studies have suggested that primary arthrodesis may represent the best option of surgical treatment. In this study, we report a case of a 30-year-old male patient with a rare combination of a highly comminuted transcalcaneal fracture-dislocation associated with a talar neck fracture successfully treated with open reduction and internal fixation (ORIF) with an 18-month follow-up. This case demonstrates that even when there are associated fractures of the talus and calcaneus with severe bone loss, ORIF may provide satisfactory outcomes in the short-term postoperative period. Levels of Evidence: Level V: Case report

scholarly journals Misdiagnosis of Post-traumatic Osteomyelitis: A Case Report

2021 ◽  
Vol 8 (2) ◽  
pp. 107-110
Author(s):  
Salman Ghaffari ◽  
◽  
Mehran Razavipour ◽  
Iman Sadeghian ◽  
Shahin Talebi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bone Marrow ◽  
Case Report ◽  
Soft Tissues ◽  
Chronic Osteomyelitis ◽  
High Energy ◽  
Imaging Studies ◽  
High Energy Trauma ◽  
Post Traumatic

Chronic osteomyelitis is a severe and persistent condition that engages bone and bone marrow. The infection can be limited to the bone, or it can propagate to the bone marrow, the periosteum, and the surrounding soft tissues. It represents a major financial every health system and impacts the quality of life of the affected patients. Diagnosing chronic osteomyelitis remains difficult. Accordingly, laboratory and imaging studies are necessary in this respect. A 49-year-old man after high energy trauma underwent debridmant and fixation. After 3 years’ patient admitted in infection ward with fever presentation. The clinical examination didn't reveal any sign of localization of fever. Chronic osteomyelitis is not always associated with fever in this situation Other diagnoses should be considered after role out other disease osteomyelitis

scholarly journals Antebrachial microvascular flap for reconstruction of the pelvic limb: case report

2019 ◽  
Vol 7 (5) ◽  
pp. 1952
Author(s):  
Rodrigo Banegas-Ruiz ◽  
Alan I. Valderrama-Treviño ◽  
J. A. Rivas-Montero ◽  
F. F. Gómez-Mendoza ◽  
E. García-Martínez ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissues ◽  
High Energy ◽  
Healing Time ◽  
Surgical Approaches ◽  
High Energy Trauma ◽  
Microvascular Flap ◽  
Pelvic Limb ◽  
The Right ◽  
Key Aspects

Complex defects in the soft tissues of the foot and ankle caused by high-energy trauma, infection, cancer or diabetes require rapid and effective treatment which decreases the risk of infection, bone healing time, hospital stay and number total of surgical approaches. Authors report a clinical case of a 23-year-old female patient who suffers high-energy trauma due to a motorcycle accident which causes exposure of the distal third of the tibia, loss of the tibial joint face, and loss of tissue throughout the region of the malleolus medial of the right pelvic extremity. Tissue transfer to the pelvic limb is performed using left contralateral radial antebrachial free flap as donor area. This case report aims to emphasize the key aspects of the high energy trauma approach by using microvascular flaps, as well as the satisfactory evolution of the patient that directly affects the prognosis for life and function.

scholarly journals Isolated Transverse Sacrum Fracture: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Cemil Kavalci ◽  
Gökhan Akdur ◽  
Mustafa Burak Sayhan ◽  
Ozgur Sogut ◽  
Mehmet Tahir Gökdemir
Keyword(s):  
Emergency Department ◽  
High Energy ◽  
Sacral Fracture ◽  
Low Energy ◽  
Transverse Fracture ◽  
Insufficiency Fractures ◽  
Diagnostic Challenge ◽  
Unique Case ◽  
High Energy Trauma ◽  
Sacral Fractures

Sacral fracture commonly results from high-energy trauma. Most insufficiency fractures of the sacrum are seen in women after the age of 70. Fractures of the sacrum are rare and generally combined with a concomitant pelvic fracture. Transverse sacral fractures are even less frequent which constitute only 3–5% of all sacral fractures. This type of fractures provide a diagnostic challenge. We report a unique case of isolated transverse fracture of sacrum in a young man sustained low-energy trauma. The patient presented to our emergency department after several hours of injury, and diagnosed by clinical features and roentgenogram findings.

scholarly journals High-Energy Transsyndesmotic Ankle Fracture Dislocation: A Case Report and Systematic Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Yinshuan Deng ◽  
Chenhui Dong ◽  
Xiaojie Yang ◽  
Rui Liu ◽  
Feiyi Hou ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Literature Review ◽  
Ankle Fracture ◽  
Clinical Case ◽  
High Energy ◽  
Fracture Dislocation ◽  
High Energy Trauma ◽  
Ovid Medline ◽  
Type Of Injury

High-energy trauma can cause transsyndesmotic ankle fracture dislocation. These fractures are quite rare. Here we present a clinical case of a male patient with this type of injury. A systematic review of PubMed, Ovid MEDLINE, and Embase electronic databases revealed only two prior publications on a similar topic. We discuss the typical clinical features of these injuries, the treatment of high-energy trauma which can cause transsyndesmotic ankle fracture dislocation, and its prognosis.

scholarly journals Posterior tibialis tendon rupture concomitant with a closed medial malleolar fracture: A case report and literature review

2021 ◽  
Vol 28 ◽  
pp. 221049172110258
Author(s):  
Shahin Talebi ◽  
Shirin Sheibani ◽  
Salman Ghaffari ◽  
Abolfazl Ghadiri
Keyword(s):  
Case Report ◽  
Tendon Rupture ◽  
External Rotation ◽  
High Energy ◽  
Traumatic Rupture ◽  
Malleolar Fracture ◽  
High Energy Trauma ◽  
Medial Side ◽  
Direct Trauma ◽  
Acute Rupture

Traumatic rupture of the posterior tibialis tendon is an extremely infrequent condition, which mostly occurred due to a traumatic mechanism of pronation and external rotation, less commonly in direct trauma on the medial side of the ankle. This lesion is overlooked preoperatively most of the time because of the limitation of physical examination owing to acute pain and swelling secondary to a medial malleolar fracture. Early diagnosis and treatment of this injury are very important to prevent the complications like acquired flatfoot deformity. Few cases have been described in the literature for the posterior tibialis tendon rupture associated with a closed ankle fracture. Here we report an acute rupture of the posterior tibialis tendon associated with a closed medial malleolar fracture after a high-energy trauma in a healthy 33-year-old man. We fixed the medial malleolar fracture with two screws and repaired the tendon with a direct end-to-end suture. We hope that our study can be helpful for other colleagues to consider this lesion in similar circumstances.

scholarly journals Polytraumatized patient with two columns fracture of the acetabulum and skin abrasion, which incision to use with soft tissue: A case report at 15 years follow-up

2021 ◽  
Vol 2 (2) ◽  
pp. 9-13
Author(s):  
R Spagnolo ◽  
D Porreca ◽  
M Vimercati ◽  
F Pace
Keyword(s):  
Gluteus Maximus ◽  
Early Mobilization ◽  
Skin Incision ◽  
Frequent Pattern ◽  
Acetabular Fractures ◽  
Postoperative Rehabilitation ◽  
Invasive Approach ◽  
Less Invasive ◽  
Stable Osteosynthesis ◽  
Less Invasive Approach

Posterior fractures of the acetabulum are the most frequent pattern of acetabular fractures. Based on the works of Judet and Letournel, accurate reduction and stable osteosynthesis with early mobilization have become the gold standard for the treatment of posterior acetabular fractures. Recently, a less invasive approach has been described to decrease Kocher-Langenbeck (K-L) approach complications. The clinical case describes a patient affected by two-column fractures of the acetabulum with skin abrasions of the gluteus. The clinical evaluation was based on Merle d’Aubigne and Postel scoring, which Matta has modified. The approach used is a modified, less invasive K-L: a straight skin incision from the midpoint between the posterior superior iliac spine and the posterior tip of the greater trochanter. We observed the essential advantages using this approach were a lesser split of the gluteus maximus and no risk of damage for the superior gluteal nerve. In the early postoperative rehabilitation, we examined the strength of the gluteus maximus, which was better than in patients treated with the typical Kocher–Langenbeck approach. The patient resumed after fifteen years after surgery; hip mobility is complete and painless.

scholarly journals Polypropylene prosthesis as cicatricial adjuvant after fasciotomy for compartment syndrome of the foot: Case report

2021 ◽  
Vol 13 (5) ◽  
pp. 122-124
Author(s):  
José Martins Juliano Eustáquio ◽  
Leonardo Soares Ataíde Oliveira ◽  
Décio José De Oliveira Júnior ◽  
Thayla Carriço Mendes ◽  
Alberto Martins Fontoura Borges ◽  
...  
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Surgical Procedure ◽  
Damage Control ◽  
Healing Process ◽  
Skin Grafting ◽  
High Energy ◽  
High Energy Trauma ◽  
Musculoskeletal Trauma ◽  
Cover Up

The acute foot compartment syndrome is uncommon and occurs after high energy trauma. Your treatment is considered an orthopedic emergency and a fasciotomy becomes needed. However, after the inicial fase of damage control, the cover up of the incision is necessary. That can be done on the primary moment through parcial skin grafting or delayed primary, through the same technique or through direct suture. As an alternative, this case describes the use of polypropylene prosthesis, inicially described in musculoskeletal trauma of finger tips, as an adjunct to the healing process of foot fasciotomies. The main benefits of this technique are the achievement of one single surgical procedure and the absence of the typical morbidity that comes with skin grafting.

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