scholarly journals Initial Limb Salvage Intervention for a Mangled Lower Extremity in a Four-Year-Old Male: A Case Report of the Alternatives in Low-resource Settings

2021 ◽  
Vol 25 (3) ◽  
Author(s):  
Kofi Tawiah Mensah
Keyword(s):  
Case Report ◽  
Limb Salvage ◽  
Low Resource Settings ◽  
Low Resource ◽  
The Road ◽  
Mangled Extremity ◽  
Successful Case ◽  
Severity Scores ◽  
Emergency Units ◽  
Extremity Injuries

Introduction: Mangled extremity injuries in civilian settings are challenging conditions for the accident and emergency units of low-resource settings where salvage therapies may not be feasible or affordable for the patients. Case Report: We have described a successful case of initial conservative limb salvage management for a mangled distal left lower limb in a four-year-old male who sustained the injury when a vehicle ran over his extremity as he played by the road. The treatment approach was in contrast to the radical completion of amputation with its attendant revisions, which are associated with similar injuries with the mangled extremity severity scores of ≥ 7. Conclusions: The benefits and challenges of the limb salvage intervention were discussed based on the literature in this regard, and a recommendation was proposed while considering an initial conservative limb salvage approach in well-resuscitated children presenting early with a mangled extremity injury.

scholarly journals A challenging diagnosis and management of Herlyn-Werner-Wunderlich Syndrome in low-resource Settings: A case report complicated with hydronephrosis

2021 ◽  
Vol 70 ◽  
pp. 102843
Author(s):  
Sami Jomaa ◽  
Kenana Tawashi ◽  
Fatima Alzhraa All Rass ◽  
Eyad Abdallah ◽  
Nazih Tawashi
Keyword(s):  
Case Report ◽  
Low Resource Settings ◽  
Low Resource ◽  
Diagnosis And Management

scholarly journals Is the Kampala Trauma Score an Effective Predictor of Mortality in Low-Resource Settings? A Comparison of Multiple Trauma Severity Scores

2014 ◽  
Vol 38 (8) ◽  
pp. 1905-1911 ◽  
Author(s):  
Sharon R. Weeks ◽  
Catherine J. Juillard ◽  
Martin E. Monono ◽  
Georges A. Etoundi ◽  
Marquise K. Ngamby ◽  
...  
Keyword(s):  
Multiple Trauma ◽  
Low Resource Settings ◽  
Low Resource ◽  
Trauma Severity ◽  
Severity Scores ◽  
Trauma Score

scholarly journals Norwegian Open Fracture Management System: Outcomes After 10 Years Working in Low-Resource Settings in Cambodian Hospitals

2022 ◽  
pp. 1-11
Author(s):  
Nenad B. Tajsic ◽  
Sigrunn H. Sørbye ◽  
Sophy Nguon ◽  
Vannara Sokh ◽  
Aymeric Lim
Keyword(s):  
Limb Salvage ◽  
Management System ◽  
Open Fracture ◽  
Lower Limbs ◽  
Limb Salvage Surgery ◽  
External Fixators ◽  
Soft Tissue Reconstruction ◽  
Low Resource Settings ◽  
Low Resource ◽  
Fracture Management

Abstract Introduction: The treatment of open lower limb fractures represents a major challenge for any trauma surgeon, and this even more so in resource-limited areas. The aim of the study is to describe the intervention, report the treatment plan, and observe the effectiveness of the Norwegian Open Fracture Management System in saving lower limbs in rural settings. Materials and Methods: A retrospective and prospective interventional study was carried out in the period 2011 through 2017 in six rural hospitals in Cambodia. The fractures were managed with locally produced external fixators and orthosis developed in 2007. Based on skills and living locations, two local surgeons and one paramedic without reconstructive surgery experience were selected to reach the top of the reconstructive ladder and perform limb salvage surgeries. This study evaluated 56 fractures using the Ganga Hospital Open Injury Score (GHOIS) for Gustilo-Anderson Type IIIA and Type IIIB open fracture classification groups. Results: The primary success rate in open tibia fractures was 64.3% (95% CI, 50.3 - 76.3). The average treatment time to complete healing for all of the patients was 39.6 weeks (95% CI, 34.8 - 44.4). A percentage of 23.2% (95% CI, 13.4 - 36.7) experienced a deep infection. Fifteen of the patients had to undergo soft tissue reconstruction and 22 flaps were performed. Due to non-union, a total of 15 bone grafts were performed. All of the 56 patients in the study gained limb salvage and went back to work. Conclusion: The given fracture management program proves that low-resource countries are able to produce essential surgical tools at high quality and low price. Treatment with external fixation and functional bracing, combined with high-level training of local surgeons, demonstrates that a skilled surgical team can perform advanced limb salvage surgery in low-resource settings.

scholarly journals A First Case Report of DiGeorge Syndrome from Ethiopia Highlights Challenges in Identifying and Treating Children with Primary T-Cell Deficiencies in Low Resource Settings

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Tinsae Alemayehu ◽  
Solomie Jebessa Deribessa
Keyword(s):  
Case Report ◽  
T Cell ◽  
Digeorge Syndrome ◽  
Failure To Thrive ◽  
Congenital Defects ◽  
Recurrent Infections ◽  
Low Resource Settings ◽  
Low Resource ◽  
First Case ◽  
T Cell Immunodeficiency

Background. Cellular primary immunodeficiencies are rarely reported from Africa. DiGeorge syndrome is a commonly recognized form of a congenital T-cell deficiency. The disorder is characterized by hypoplastic or aplastic thymus, hypocalcemia, recurrent infections, and other associated congenital defects. Case Report. We report an eleven-month-old infant presenting with recurrent chest and diarrheal infections, failure to thrive, lymphopenia, hypocalcemia, and hypoplastic thymus on imaging. A diagnosis of DiGeorge syndrome was confirmed after determining very low CD3 and CD4 levels. Conclusions. We describe the first case report of an Ethiopian child with a congenital T-cell immunodeficiency. We have outlined essentials for diagnosis and management of cellular primary immunodeficiency disorders in low resource settings.

Limb salvage in a child with severely injured mangled lower extremity and muscle rigor

Vascular ◽  
2012 ◽  
Vol 20 (6) ◽  
pp. 321-324 ◽  
Author(s):  
Mohamed A Elsharawy ◽  
Karay Maher ◽  
Aymen S Elsaid
Keyword(s):  
Lower Extremity ◽  
Limb Salvage ◽  
Clinical Picture ◽  
Scoring Systems ◽  
Severely Injured ◽  
Ischemic Limb ◽  
Mangled Extremity ◽  
Severity Scores

Most surgeons make their decision to amputate or perform limb salvage of a mangled extremity based on scoring systems and grading of acute ischemic limb. We report on a child in whom limb salvage was achieved in spite of a clinical picture of irreversible ischemia with high mangled severity scores. Attempts to revascularize the mangled extremity of children are recommended, regardless of their severity scores and condition of the foot.

scholarly journals Is the Kampala Trauma Score An Effective Predictor of Mortality in Low-Resource Settings? A Comparison of Multiple Trauma Severity Scores

2012 ◽  
Vol 172 (2) ◽  
pp. 254 ◽  
Author(s):  
S.R. Weeks ◽  
C.J. Juillard ◽  
M.E. Monono ◽  
G.A. Etoundi ◽  
M.K. Ngamby ◽  
...  
Keyword(s):  
Multiple Trauma ◽  
Low Resource Settings ◽  
Low Resource ◽  
Trauma Severity ◽  
Severity Scores ◽  
Trauma Score
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