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.

Acute Compartment Syndrome of Upper Extremities with Tendon Ruptures

2017 ◽  
Vol 22 (04) ◽  
pp. 411-415
Author(s):  
Taku Suzuki ◽  
Eiko Yamabe ◽  
Takuji Iwamoto ◽  
Katsuji Suzuki ◽  
Harumoto Yamada ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Compartment Syndrome ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Skin Grafting ◽  
High Energy ◽  
Acute Compartment Syndrome ◽  
Mechanism Of Injury ◽  
Sensory Disturbances

Background: It is well known that acute compartment syndrome is associated with fracture of the forearm, while involvement of soft tissue injury including musculotendinous injury remains unclear. The purpose of this study was to evaluate the soft tissue involvement, including musculotendinous ruptures, in acute compartment syndrome of the upper limb. Methods: We retrospectively enrolled 16 patients who underwent surgical treatment for acute compartment syndrome of the upper extremity. The average age of the patients was 47 years (range, 14 to 79) and the mean follow-up period after the surgery was 15 months (range, 12 to 29). Complications included at least one presentation at the final follow up of sensory disturbances or motor disturbances. We examined the presence of musculotendinous injury mechanism of injury, presence of fracture, the performance of skin grafting, and complications. Results: Mechanism of injury of “caught in a machine” was found in six cases. Three of these patients had musculotendinous ruptures and all muscle tears were revealed by intraoperative findings. No patients had muscle ruptures with other injury mechanisms. Seven out of 16 patients (44%) developed complications at final follow-up. Skin grafting was performed in six patients, and five of these patients developed complications. Only one of the nine patients without complications underwent skin grafting. Conclusions: In cases of high-energy injuries, the surgeon should suspect the presence of a musculotendinous injury prior to surgery.

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 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.

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 Concomitant Ipsilateral Traumatic Dislocation of the Hip and Knee following High-Energy Trauma: A Case Report

2006 ◽  
Vol 14 (3) ◽  
pp. 322-324 ◽  
Author(s):  
EK Motsis ◽  
EE Pakos ◽  
K Zaharis ◽  
AV Korompilias ◽  
TA Xenakis
Keyword(s):  
Case Report ◽  
High Energy ◽  
High Energy Trauma ◽  
Traumatic Dislocation ◽  
Dislocation Of The Hip

Acute compartment syndrome of the foot due to a twisting injury while playing sports

2020 ◽  
Vol 13 (10) ◽  
pp. e232541
Author(s):  
Humayun Hijazi ◽  
Marc O'Reilly ◽  
Darren Patrick Moloney ◽  
Thomas Bayer
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Rare Complication ◽  
Lateral Compartment ◽  
High Energy ◽  
Acute Compartment Syndrome ◽  
Lateral Ligament ◽  
Severe Injuries ◽  
A Minor ◽  
Haematoma Formation

Acute compartment syndrome (ACS) of the foot is one of the most severe injuries of the foot and typically results from a fracture, crush or vascular injury. ACS, isolated to a single foot compartment, is a rare complication following a simple twisting injury of the ankle. In this article, the authors present the case report of a 25-year-old man who developed ACS, isolated to the lateral compartment of the foot, secondary to rupture of the lateral ligament complex and subsequent haematoma formation. An emergency fasciotomy was performed and the patient had complete resolution of his symptoms. ACS is usually associated with significant trauma, however, there are reported cases in the literature associated with a minor injury. In this case report, the authors describe how ACS developed following a simple ankle sprain playing sports in the absence of a high-energy insult or fracture.

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.

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