Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture: Treatment with Acute Deformity and External Fixation

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...

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Bibliographic Details
Published in:Case reports in orthopedics 2019, Vol.2019 (2019), p.1-4
Main Authors: Minoughan, Chelsea E., Avilucea, Frank R., Schumaier, Adam P.
Format: Article
Language:English
Subjects:
Amputation
Case Report
Case reports
Defects
Fractures
Infections
Joint surgery
Sepsis
Surgery
Transplants & implants
Trauma
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Summary: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.
ISSN:2090-6749
2090-6757
DOI:10.1155/2019/3185286