دورية أكاديمية
Knee megaprosthesis: a salvage solution for severe open and complex distal femoral fracture associated with an ipsilateral brachial plexus injury (a case report with literature review)
| العنوان: | Knee megaprosthesis: a salvage solution for severe open and complex distal femoral fracture associated with an ipsilateral brachial plexus injury (a case report with literature review) |
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| المؤلفون: | Badr Ennaciri, Christian Vasile, Thierry Lebredonchel, Mohamed Saleh Berrada, Eric Montbarbon, Emmanuel Beaudouin |
| المصدر: | The Pan African Medical Journal, Vol 21, Iss 207 (2015) |
| بيانات النشر: | The Pan African Medical Journal, 2015. |
| سنة النشر: | 2015 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | knee megaprosthesis, femoral spacer, open fracture, Medicine |
| الوصف: | Complex distal femoral fractures in the young patient often occur as a result of high velocity trauma. Timely recognition and treatment is everything in such a situation, and it needs a robust staged management pathway to optimize the chance of limb preservation. We report a case of a motorcyclist admitted to the department of orthopedics at Chambery hospital, France with a complex comminuted, open distal femoral fracture of the left leg, associated with a brachial plexus injury to the ipsilateral upper limb. On arrival to the emergency department, damage control stabilization and surgery was commenced, debridement of contaminated non-viable tissue, abundant antiseptic lavage and application of external fixation coupled with the use of antibiotic spacer. Following normalization of inflammatory markers and ensuring no clinical signs of infection, subsequent management consisted of joint reconstruction to achieve a functional knee. The external fixator and femoral spacer was removed and a modular megaprosthesis was implanted with a lateral gastrocnemius flap to cover the exposed knee joint and reinforce the extensor apparatus. Nerve graft to the left brachial plexus injury was performed at University Hospital of Grenoble. Our patient entered an intensive rehabilitation program and at 1 year follow-up achieved good knee function and sensation to the left upper limb. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English French |
| تدمد: | 1937-8688 |
| Relation: | https://www.panafrican-med-journal.com/content/article/21/207/pdf/207.pdf; https://doaj.org/toc/1937-8688 |
| DOI: | 10.11604/pamj.2015.21.207.7260 |
| URL الوصول: | https://doaj.org/article/8d6aa56c883d4c00b13b10fa6793de1f |
| رقم الأكسشن: | edsdoj.8d6aa56c883d4c00b13b10fa6793de1f |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 19378688 |
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| DOI: | 10.11604/pamj.2015.21.207.7260 |