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Close fracture complicated by acute haematogenous osteomyelitis
S Baskaran1, T Nahulan, A Siva Kumar
1Department of Orthopaedic Surgery, Hospital Queen Elizabeth, Kota Kinabalu, Sabah.
Abstract:
This is the first time we encountered a peculiar case of osteomyelitis complicating a closed fracture. The patient was a 38 year-old lady who presented just like any other patient with a closed fracture of the right femur. Intraoperatively we were surprised to find pus from the fracture site. This not only changed the surgical management but altered the subsequent outcome as well.
Insights
A rare case of osteomyelitis complicating a closed femur fracture was identified. This unexpected intraoperative finding significantly altered the patient's surgical management and prognosis.
Area of Science:
- Orthopedic Surgery
- Infectious Diseases
Background:
- Closed femur fractures are common orthopedic injuries.
- Osteomyelitis is a serious bone infection that can complicate fractures.
Observation:
- A 38-year-old female presented with a closed fracture of the right femur.
- Intraoperative examination revealed unexpected purulence at the fracture site.
Findings:
- The presence of pus indicated osteomyelitis complicating the closed fracture.
- This finding necessitated a change in the planned surgical approach.
Implications:
- Early identification of intraoperative infection is crucial for closed fractures.
- Prompt management of osteomyelitis is vital to improve patient outcomes and prevent complications.
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