scholarly journals Definite management of bilateral lower leg nonunion fractures by Ilizarov apparatus in polytraumatized patient: Case report

2015 ◽  
Vol 68 (3-4) ◽  
pp. 137-142
Author(s):  
Ivica Lalic ◽  
Mirko Obradovic ◽  
Mirka Lukic-Sarkanovic ◽  
Vladimir Djan
Keyword(s):  
Case Report ◽  
Joint Stiffness ◽  
Functional Results ◽  
Shaft Fracture ◽  
Lower Leg ◽  
Negative Effects ◽  
Lower Leg Fracture ◽  
Ilizarov Apparatus ◽  
Fracture Nonunions ◽  
The Right

Introduction. Nonunion of long bones may often be associated with significant function loss of affected extremity, joint stiffness, and even extremity amputation or systemic manifestations in the case of infection. The aim of this case report is to highlight the possibilities of Ilizarov apparatus in the treatment of fracture nonunions of both lower legs treated by different operative methods and to show that it is not necessary to remove osteosynthetic material (intramedullary nail) in every case when nonunion occurs to achieve its recovery. Case Report. A 62 year-old man was injured in a traffic accident as a pedestrian in April 2012, when he experienced polytrauma, including shaft fracture of the right femur, and segmental open fractures of the right (Gustillo-Anderson grade I) and left (Gustillo-Anderson grade II) lower leg. The fractures of right femur and right tibia were stabilized initially with intramedullary nails, while the left lower leg fracture was treated by unilateral external fixator. After 5 months, there were no clinical and radiographic signs of union on lower legs, therefore the patient underwent re-surgery. Ilizarov apparatus was applied on both lower legs. The patient was early verticalized and both apparatus were removed after 4 months. According to the modified protocol of the Association for the Study and Application of Methods of Ilizarov, the lower leg bony results were good and excellent, and the functional results were excellent on both sides. Conclusion. Nonunion fracture of the right lower leg initially treated by the method of intramedullary osteosynthesis and afterwards by placing Ilizarov apparatus shows that in some cases it is not indicated to remove fixative material in order to achieve full recovery of fracture, thus eliminating the danger of all negative effects resulting from the classical extensive surgical treatment.

Unilateral spinal anaesthesia in a patient with Osteogenesis Imperfecta with a lower leg fracture: a case report

Injury ◽  
2013 ◽  
Vol 44 ◽  
pp. S49-S51 ◽  
Author(s):  
Senka Baranovic ◽  
Ivan Zvonimir Lubina ◽  
Tomislav Vlahovic ◽  
Bore Bakota ◽  
Branka Maldini
Keyword(s):  
Case Report ◽  
Osteogenesis Imperfecta ◽  
Spinal Anaesthesia ◽  
Lower Leg ◽  
Lower Leg Fracture ◽  
Leg Fracture

scholarly journals Iatrogenic Anterior Tibial Artery Pseudoaneurysm – A Rare Case Report

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Nishant D Goyal ◽  
Vinay Kumar Gautam ◽  
Vijay M Panchnadikar ◽  
Madhan Jeyaraman ◽  
Nikhil Valsangka ◽  
...  
Keyword(s):  
Case Report ◽  
Shaft Fracture ◽  
Anterior Tibial Artery ◽  
Artery Pseudoaneurysm ◽  
Tibia Shaft Fracture ◽  
Tibial Artery ◽  
Anterior Tibial ◽  
Pseudo Aneurysm ◽  
The Right ◽  
Tibia Shaft

Introduction: Interlocking tibia nail fixation for tibia shaft fracture treatment is one of the most commonest procedures performed in orthopedic trauma practices. We report one such case of a rare complication of anterior tibial artery (ATA) pseudo-aneurysm caused by the proximal coronal locking bolt performed by an unusual entry from lateral to medial side during shaft of tibia fracture fixation. Case Report: A 86- years old female sustained a road traffic accident and was diagnosed with a closed tibia shaft fracture of the right leg for which she underwent intramedullary interlocking nail IMIL nailing elsewhere. She presented to us three 3 weeks after primary surgery with persistent pain and swelling in the right leg proximally. We investigated and diagnosed her as having a pseudoaneurysm of the Anterior Tibial Artery on color Doppler and magnetic resonance imaging (MRI) angiography. The pseudoaneurysm of ATA was clipped without any complications. To avoid the rupture of the pseudoaneurysm during manipulation of nail and bolts, their positions were not changed as they were supporting the fracture well and the fracture was also not united at that time. Conclusion: Though Although interlocking nailing of tibia shaft fracture is a commonly performed procedure, it can lead to disastrous vascular complications if the procedure is not performed with utmost care. ATA injury by proximal locking bolts of the tibia nail mandates the need for reconsideration of the nail design with better screw hole positions. We recommend preferring standard AO manual instructions for proximal tibia locking bolt direction. Keywords: Pseudo-aneurysm, tibia nail, locking bolt, anterior tibial artery.

scholarly journals Hemangioma of First Extensor Compartment of the Wrist– A Rare Case Report

2021 ◽  
Vol 11 (6) ◽  
Author(s):  
Rajni Ranjan ◽  
Rakesh Kumar ◽  
Madhan Jeyaraman ◽  
Sandip Biswas ◽  
Akhilesh Kumar ◽  
...  
Keyword(s):  
Case Report ◽  
Articular Surface ◽  
Functional Results ◽  
Vascular Tumor ◽  
Low Flow ◽  
Definitive Treatment ◽  
Excision Biopsy ◽  
Musculotendinous Junction ◽  
Intramuscular Hemangioma ◽  
The Right

Introduction: Although upper extremity intramuscular hemangioma is a rare clinical entity, it poses considerable morbidity in the functional needs of an individual. The diagnosis of intramuscular hemangioma poses a diagnostic glitch. The combined radiological and histopathological assessment provides a complete understanding and diagnosis for the same. Every tumor follows an individualized protocol for its management. Case Report: A 15-year-old female presented with swelling over dorsal aspect of distal 1/3rd right forearm, which was 3 cm away from the articular surface of the right wrist from the past 5 years. There was no history of trauma or infection over the right wrist. Finkelstein’s test was negative, which rule out de Quervain’s tenosynovitis. The movements of the right wrist were unrestricted without any distal neurovascular deficit. MRI of her right wrist and hand suggested the presence of low flow vascular malformation within the musculotendinous junction of APL and EPB muscles. The patient underwent excision biopsy of the hemangiomatous lesion in toto without any neurological complications. No recurrence was noted in the follow-up period for 6 months. Conclusion: Being a benign vascular tumor, MRI provides the gateway to diagnose intramuscular hemangioma for early intervention to provide better functional results. The choice of definitive treatment for APL and EPB hemangioma was excision biopsy in toto which provided better functional results in our patient. Keywords: Hemangioma, intramuscular, abductor pollicis longus, extensor pollicis brevis, MRI, excision biopsy.

scholarly journals Functional results after a Krukenberg amputation

2005 ◽  
Vol 29 (1) ◽  
pp. 87-92 ◽  
Author(s):  
J. Freire ◽  
C. Schiappacasse ◽  
A. Heredia ◽  
J. D. Martina ◽  
J. H. B. Geertzen
Keyword(s):  
Case Report ◽  
Functional Outcome ◽  
Female Patient ◽  
Functional Results ◽  
Rehabilitation Treatment ◽  
Good Functional Outcome ◽  
The Right

This case report presents a 51 year old female patient who had a train accident in 1999. She suffered bilateral trans-tibial and bilateral trans-radial amputations. In this paper, the evolution of the right transradial amputation where eventually a Krukenberg procedure was performed, is described as is its good functional outcome after rehabilitation treatment. After this first procedure the patient also asked for the Krukenberg procedure for her left arm.

scholarly journals Management of Adolescent Three-Part Lateral Triplane Ankle Fracture with Ipsilateral Shaft of Tibia Fracture and Intact Fibula in COVID Pandemic: A Case Report with Review of Literature

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Shivanshu Mittal ◽  
Atul Prakash ◽  
Vivek Kumar David ◽  
Somit Sarkar
Keyword(s):  
Case Report ◽  
Ankle Fracture ◽  
Weight Bearing ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Age Group ◽  
Tibial Shaft ◽  
Triplane Fracture ◽  
Pediatric Orthopedic ◽  
The Right

Introduction: Triplane fracture of ankle is a rare adolescent injury. Its association with ipsilateral tibial shaft fracture is very uncommon in pediatric orthopedic traumatology and rarely reported in the literature till date. Timely diagnosis and management is required to optimize the outcome and avoid complications. Case Report: This is a case of a 14-year-old male who sustained a twisting injury to his right leg during early phase of COVID-19 pandemic. He sustained a three-part lateral triplane fracture of the ankle with a concomitant displaced spiral fracture of the shaft of the right tibia. He underwent close reduction under fluoroscopy and above-knee casting for 10 weeks followed patellar tendon weight-bearing cast for 4 weeks. Both fractures healed uneventfully in 14 weeks with patient returning to full activities in 22 weeks. Conclusion: The ankle injury in adolescent age group (12–15 years) can easily be missed in the presence of the more obvious tibial fracture and therefore, we recommend ankle assessment of all patients with tibial shaft fractures in this age group both clinically and radiologically. Keywords: Triplane ankle fracture, tibia shaft fracture, adolescent.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

Stomach in the Right Thorax Caused by Hiatal Hernia: A Case Report

2006 ◽  
Vol 55 (4) ◽  
pp. 349
Author(s):  
Ju Won Lee ◽  
Kyung Hee Lee ◽  
Seung Min Kwak ◽  
Yong Sun Jeon ◽  
Soon Gu Cho ◽  
...  
Keyword(s):  
Case Report ◽  
Hiatal Hernia ◽  
The Right

Right Coronary Artery Fistula Draining into the Right Atrium and Associated with Mitral Valve Stenosis: A Case Report

2007 ◽  
Vol 10 (4) ◽  
pp. E325-E328 ◽  
Author(s):  
Ali Gürbüz ◽  
Ufuk Yetkin ◽  
Ömer Tetik ◽  
Mert Kestelli ◽  
Murat Yesil
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Mitral Valve ◽  
Right Coronary Artery ◽  
Right Atrium ◽  
Coronary Artery Fistula ◽  
Mitral Valve Stenosis ◽  
The Right
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