Open Tibia Fracture Treated by External Fixation : Our Experience in Two Private Hospitals in Aden, Yemen

2019 ◽  
Vol 17 (11) ◽  
pp. 44-48
Author(s):  
Abdulsalam Abdullah Hadi Mohsen
Keyword(s):  
External Fixation ◽  
Tibia Fracture ◽  
Private Hospitals ◽  
Open Tibia Fracture

Smoking Effects in a Distal Tibia Fracture Treated With External Fixation

2016 ◽  
Vol 35 (6) ◽  
pp. 426-428
Author(s):  
Andrea Emilio Salvi ◽  
Alexander Nikolaevich Chelnokov ◽  
Simone Roda
Keyword(s):  
External Fixation ◽  
Distal Tibia ◽  
Tibia Fracture ◽  
Distal Tibia Fracture

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.

Tibia Fracture in Staged Limb Salvage Using External Ring Fixation and Intramedullary Nailing: A Report of Two Cases

2020 ◽  
Vol 110 (3) ◽  
Author(s):  
Nicholas S. Powers ◽  
Jason M. St. John ◽  
Patrick R. Burns
Keyword(s):  
External Fixation ◽  
Limb Salvage ◽  
Shaft Fracture ◽  
Tibia Fracture ◽  
Intramedullary Fixation ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Delayed Fracture ◽  
Pin Site ◽  
Extended Course

Limb salvage for Charcot's neuroarthropathy has been shown to have high complication and failure rates. The aim of our report of two cases it to present a unique complication encountered with staged limb salvage for Charcot's neuroarthropathy. In two cases, patients developed delayed tibial shaft fracture associated with previous wire placement despite insertion of locked intramedullary nail fixation that spanned the delayed fracture. Both patients experienced fractures following advancement of weight after definitive fixation. In both patients, there was noted complication with the sites of the pins and revision of external fixation before fracture. In each case, the fracture was within the construct of the intramedullary fixation and successfully treated with an extended course of nonweightbearing. Complications of external fixation and intramedullary fixation are well reported within the literature; however, tibia fracture is rare. Based on these cases, it would seem prudent to recognize the risk of delayed pin-site complications and ensure adequate length of intramedullary fixation to span the potential areas of stress.

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

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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