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Spontaneous ejection of a ring sequestrum in a 10-year-old: a case report
1Department of Orthopaedics, Wayne State University School of Medicine, Warren, MI 48092, USA. bonedoc79@yahoo.com
Journal of Orthopaedic Trauma
|March 30, 2005
Summary
A rare ring sequestrum complication in a pediatric femur fracture case was successfully treated. Prompt antibiotic therapy and surgical debridement resolved the infection, demonstrating effective management of this serious condition.
Area of Science:
- Orthopedic Surgery
- Pediatric Traumatology
- Infectious Diseases
Background:
- Femur fractures in children require effective fixation.
- External fixators are used for pediatric femur fractures.
- Pin tract infections can lead to serious complications like ring sequestrum.
Purpose of the Study:
- To present a case of pediatric femur fracture with external fixation.
- To describe the development of a free-floating ring sequestrum.
- To outline successful treatment strategies for this complication.
Main Methods:
- Case presentation of a 10-year-old patient with a femur fracture.
- Treatment with an external fixator.
- Management of a subsequent ring sequestrum with antibiotics and surgical debridement.
Main Results:
- The patient developed a free-floating ring sequestrum 2 years post-femur fracture.
- The patient presented with local and systemic signs of infection.
- Successful treatment was achieved with intravenous/oral antibiotics and thorough irrigation and debridement.
Conclusions:
- Ring sequestrum is a potential complication of untreated pin tract infections.
- Antibiotic therapy combined with thorough irrigation and debridement can lead to successful outcomes for ring sequestrum.
- Prompt recognition and management are crucial for pediatric patients with femur fractures and subsequent infections.