scholarly journals Bilateral Floating Knee Injuries in an Infant: A Case Report and Literature Review

2021 ◽  
Author(s):  
Meisam Jafari Kafiabadi ◽  
Mehrdad Sadighi ◽  
Amir Sabaghzadeh ◽  
Farsad Biglari ◽  
Saber Barazandeh Rad ◽  
...  
Keyword(s):  
Case Report ◽  
Knee Injury ◽  
Motor Vehicle ◽  
Knee Injuries ◽  
Left Femur ◽  
Vehicle Accidents ◽  
Metaphyseal Fracture ◽  
Surgical Fixation ◽  
Floating Knee Injury ◽  
Fractures Of The Femur

Background: Floating knee injury is defined as ipsilateral fractures of the femur and tibia. It was mostly seen among young men and is generally caused by high-velocity trauma such as motor vehicle accidents and falling from height. Although isolated fractures of the femur or tibia are relatively common in children, floating knee injuries are rare in adolescents and even less frequent in younger children. Case Report: In this study, we reported a case of bilateral floating knee injuries of a 10-month old girl infant. Radiographic examinations revealed diaphyseal fracture of the left femur and proximal metaphyseal fracture of tibia compatible with floating knee injury type B according to the classification proposed by Letts et al. To the best of our knowledge, there was not any previous report of bilateral infantile floating knee injury in the literature. Conclusion: Pediatric floating knee injuries are relatively uncommon and extremely rare among infants. The preferred method of treatment is a surgical fixation for all fractures of all ages.

scholarly journals Low-Energy Multiligament Knee Injuries Are Associated With Higher Postoperative Activity Scores Compared With High-Energy Multiligament Knee Injuries: A Systematic Review and Meta-analysis of the Literature

2020 ◽  
pp. 036354652096208
Author(s):  
Robert S. Dean ◽  
Nicholas N. DePhillipo ◽  
David H. Kahat ◽  
Nathan R. Graden ◽  
Christopher M. Larson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Motor Vehicle ◽  
Meta Analysis ◽  
Knee Injuries ◽  
High Energy ◽  
Low Energy ◽  
Vehicle Accidents ◽  
Injury Mechanisms ◽  
Outcome Scores ◽  
Multiligament Knee Injuries

Background: Multiligament knee injuries (MLKIs) can result from high-energy injury mechanisms such as motor vehicle accidents or low-energy injury mechanisms such as activities of daily living or sports. Purpose/Hypothesis: The purpose was to conduct a systematic review on postoperative patient-reported outcomes after MLKIs and to conduct a meta-analysis of comparable outcome variables based upon high- versus low-energy injury mechanisms. It was hypothesized that MLKIs with low-energy injury mechanisms would demonstrate significantly improved subjective clinical outcome scores compared with high-energy injuries. Study design: Meta-analysis and systematic review. Methods: A systematic review was performed with the inclusion criteria of postoperative MLKI outcomes based upon high-versus low-energy mechanisms of injury with a minimum 2-year follow-up. Outcome scores included were the Lysholm knee scoring scale, Tegner activity scale, and the International Knee Documentation Committee (IKDC) score. High-energy mechanisms included motor vehicle accidents or falls from a height >5 feet; low-energy mechanisms included sports-related injuries, activities of daily living, or falls from <5 feet. A meta-analysis was performed comparing the outcome scores of high- versus low-energy mechanisms of MLKIs. Results: Overall, 1214 studies were identified, 15 of which were included in the systematic review and meta-analysis. Thirteen studies included surgical reconstructions of all injured ligaments. A total of 641 patients with 275 high-energy and 366 low-energy injuries were grouped for comparison in the meta-analysis. No significant differences in Lysholm scale (78.6 vs 78.0) or IKDC scores (69.0 vs 68.4) were found between high- and low-energy groups at a minimum of 2 years (range, 2-10 years) postoperatively ( P > .05). The low-energy injury group demonstrated significantly higher Tegner activity scale scores (5.0 vs 3.9; P = .03). There was no significant difference in failure rates between groups (3.5% vs 2.0%; P = .23). Conclusion: We found in this systematic review and meta-analysis that patients with low-energy mechanisms of MLKI surgery had improved postoperative Tegner activity scores compared with those patients with high-energy mechanisms after MLKI surgery. However, there were no differences in Lysholm score, IKDC score, or failure rates between high- and low-energy MLKI patients at an average of 5.3 years postoperatively.

scholarly journals Traumatic Aortic Injury in a 3-Year-Old Child - A Case Report and Literature Review

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Aljohani M ◽  
◽  
Alanazi S ◽  
Keyword(s):  
Case Report ◽  
Significant Contribution ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Aortic Injury ◽  
Vehicle Accidents ◽  
Vehicle Accident ◽  
Pseudo Aneurysm ◽  
High Index Of Suspicion ◽  
Tomography Scan

This case report describes a case of aortic injury with pseudo-aneurysm in a 3-year-old Saudi boy following a motor vehicle accident. The diagnosis was suspected on computed tomography scan, and emergency surgery was performed. A Dacron graft was inserted to repair the injured aorta. Postoperatively, absent femoral, and distal pulses were noted, and thromboembolectomy was performed with good outcome. We believe that our study makes a significant contribution to the literature because it raises awareness of aortic injury and rupture in pediatric patients with multi-organ trauma following motor vehicle accidents. A high index of suspicion and early intervention are essential in improving outcomes.

Talocalcaneocentral luxation combined with lateral instability of the talocrural joint in a dog and a cat

2004 ◽  
Vol 17 (01) ◽  
pp. 53-56 ◽  
Author(s):  
P. Schawalder ◽  
H. G. Schmökel ◽  
K. Hurter
Keyword(s):  
Motor Vehicle ◽  
Surgical Techniques ◽  
Motor Vehicle Accidents ◽  
Lateral Instability ◽  
Talocrural Joint ◽  
Vehicle Accidents ◽  
Talocalcaneal Joint ◽  
Surgical Fixation

SummaryTarsal injuries occur commonly in the cat and the dog, often due to motor vehicle accidents. In two cases a talocalcaneocentral luxation was associated with lateral talocrural instability. The surgical fixation of the talocalcaneocentral luxation, employing Kirschner pins in a cat and a DC plate in a dog, together with stabilisation of the lateral talocrural joint resulted in good long-term healing. The main aim of the surgical techniques used in these two cases was to stabilise the joints, without crossing and immobilising the talocalcaneal joint.

scholarly journals A retrospective analysis of twenty two cases of floating knee

2020 ◽  
Vol 6 (4) ◽  
pp. 797
Author(s):  
Umesh Yadav ◽  
Ajay Sheoran ◽  
Mayank Dutta ◽  
Ashish Devgan ◽  
Amit Dahiya ◽  
...  
Keyword(s):  
Functional Assessment ◽  
Knee Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Damage Control ◽  
Tertiary Care ◽  
Knee Injuries ◽  
Trauma Centre ◽  
Tertiary Care Centre ◽  
Floating Knee Injury

<p class="abstract"><strong>Background:</strong> With increase in road traffic accidents, incidence of floating knee injuries is increasing day by day. Along with bony injuries, multiorgan injuries are generally present which require urgent intervention. Despite advance in surgical management and implants, achieving a good functional knee still remains a challenge to the surgeons.</p><p class="abstract"><strong>Methods:</strong> This retrospective study was conducted to assess management, functional outcome and complications of patient presenting with floating knee injury to a tertiary care centre. 22 patients with floating knee injury admitted in trauma centre from 2017 to 2019 were analysed and functional assessment was done.<strong></strong></p><p class="abstract"><strong>Results:</strong> Males with mean age 33.5 years were exclusively victims of road traffic accident. 14 patients presented with multisystem injury. After stabilization fractures were fixed with nails/plates/screws. Knee stiffness was most common complication seen in 37% cases. Functional assessment was done using modified Karlstrom Olerud criteria which revealed excellent results in 22.7% cases while poor results in 18.2% cases.</p><p><strong>Conclusions:</strong>Floating knee injury is not merely bony injury but a multisystem injury and should be managed on principles of Damage control Orthopaedics. Regarding bony injuries, achieving union and acceptable range of motion remains the prime target. </p>

scholarly journals Bilateral floating knee: a rare case report with review of literature

2020 ◽  
Vol 6 (4) ◽  
pp. 851
Author(s):  
Umesh Yadav ◽  
Vasudha Dhupper ◽  
Jyotirmay Das ◽  
Akshay Lamba ◽  
Gaurav . ◽  
...  
Keyword(s):  
Rare Case ◽  
Knee Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Knee Injuries ◽  
Review Of Literature ◽  
Rare Injury ◽  
Excellent Outcome ◽  
Rare Case Report ◽  
Floating Knee Injury

<p class="abstract">Floating knee injuries are commonly seen nowadays due to increase in road traffic accidents. However, bilateral presentation of floating knee is a rare injury and challenging to orthopaedicians for a good functional outcome. We hereby present a rare case of bilateral floating knee injury in a 45 year old male treated with open reduction and internal fixation in a staged procedure. Functional assessment was done using modified Karlstrom-Olerud criteria which showed excellent outcome. Union was achieved in approximately 7 months. Decreased knee movements over left side as compared to right side was only complication seen.</p>

Subdural Hemorrhage in Utero

PEDIATRICS ◽  
1985 ◽  
Vol 76 (4) ◽  
pp. 605-610
Author(s):  
TANIA R. GUNN ◽  
PUI M. MOK ◽  
DAVID M. O. BECROFT
Keyword(s):  
Case Report ◽  
Head Circumference ◽  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Subdural Hemorrhage ◽  
Maternal Trauma ◽  
Vehicle Accidents ◽  
First Case ◽  
Subdural Hemorrhages ◽  
History Of

Acute subdural hemorrhage following the trauma of a difficult birth is a recognized cause of an increase in head circumference and anemia soon after birth.1 Although major subdural hemorrhages occurring in the fetus before the onset of labor are relatively rare, in most reported cases these also have been traumatic, the result of motor vehicle accidents or assaults.2-7 With few exceptions, there have been associated uteroplacental or other fetal injuries. In 1977, MacDonald et al8 believed they were making the first case report of an infant born with hydrocephalus and anemia due to bilateral subdural hematomas in which there was no history of maternal trauma.

scholarly journals A Simple Technique for Removal of Interlocking Screw from an Intramedullary Nail: A Case Report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sumanth Madhusudan Prabhakar ◽  
Joshua Decruz ◽  
Wee Liang Hao James ◽  
Remesh Kunnasegaran
Keyword(s):  
Case Report ◽  
Intramedullary Nail ◽  
High Speed ◽  
Simple Method ◽  
Left Femur ◽  
Distal Interlocking ◽  
Keywords Trauma ◽  
Surgical Fixation ◽  
Minimal Damage ◽  
High Speed Burr

Introduction: Difficulties encountered during removal of implants present a common technical challenge in orthopedic surgery, for which a number of factors have been implicated. A variety of techniques and instruments have been used to overcome this. However, some of these may prove to be time consuming, expensive, and inaccessible to many surgical setups. We describe a technique used for the removal of a jammed interlocking screw from an intramedullary nail that allows for minimal damage to the hardware, bone, and surrounding soft tissue, with the added advantage of being relatively quick and technically uncomplicated with the use of simple instruments. Case Report: We describe the case of an 81-year-old female with a history of surgical fixation for a left femur intertrochanteric fracture, who presented with groin pain 13 months post-fixation. Radiographs were suggestive of avascular necrosis of the femoral head with resultant cut-in of the blade, and the patient was eventually taken up for the removal of implants and total hip replacement. Intraoperatively, difficulties were encountered in the removal of the distal interlocking screw, with failure of conventional techniques initially. A high-speed burr was then employed to shape the screw head so as to achieve better grip with extraction devices, which facilitated smooth removal. Conclusion: We describe a simple method for difficult screw removal involving the use of a high-speed burr and vise grip pliers. This technique provides a quick and inexpensive option with commonly available surgical tools and may be considered when encountering difficulties with screw extraction. Keywords: Trauma, revision surgery, interlocking screw, screw removal.

scholarly journals Patellofemoral Pain: A Not So Trivial Knee Injury (A Case Report)

2019 ◽  
Vol 3 (2) ◽  
pp. 120 ◽  
Author(s):  
Aneesa Abdul Rashid ◽  
Navin Kumar Devaraj ◽  
Johan Abdul Kahar
Keyword(s):  
Case Report ◽  
Knee Injury ◽  
Knee Injuries ◽  
Pain Syndrome ◽  
Patellofemoral Pain ◽  
Meniscus Tear ◽  
Post Injury ◽  
Oral Medications ◽  
Joint Fracture ◽  
Loss Of Motion

Knee injuries are very common in sports, ranging from trivial knee strains to severe ligament, tendon and/or meniscus tear, knee joint fracture or dislocations. The treatment ranges from the basic rest, ice, compression and elevation (RICE) approach to oral medications and/or surgery. It usually entails some form of physiotherapy especially during the post injury period and with functional loss of motion or stiffness. For the professional sportsman, rehabilitation tends to be more intensive due to pressure to return to the sport as soon as possible. This case report will look at a-not-so-trivial knee injury diagnosed as patellofemoral pain syndrome (PFPS) in a 28 year old recreational athleteInternational Journal of Human and Health Sciences Vol. 03 No. 02 April’19. Page: 120-122

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