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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.3K

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A Mini-Invasive Internal Fixation Technique for Studying Immobilization-Induced Knee Flexion Contracture in Rats
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Infected Tibial Plateau Open Reduction Internal Fixation Treated Using External Fixation and a Gastrocnemius Flap: A

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  • 1Trauma and Orthopaedic Surgery, Mater Misericordiae University Hospital, Dublin, IRL.

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Summary

This case study details the successful management of a complex left proximal tibia fracture in an elderly diabetic patient. Innovative surgical techniques, including muscle flap coverage and Ilizarov fixation, were employed to address post-operative infection and achieve bone healing.

Keywords:
biofilmcomplicationsimplant-related infectioninfected non-unioninfection after fracture fixation

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Area of Science:

  • Orthopedic Surgery
  • Diabetic Foot Management
  • Trauma Reconstruction

Background:

  • An 80-year-old female with type II insulin-dependent diabetes mellitus presented with a left proximal tibia fracture.
  • Standard open reduction internal fixation with a locking plate was initially performed.

Observation:

  • The patient developed a post-operative surgical site infection.
  • The internal fixation hardware was subsequently removed.

Findings:

  • Negative-pressure wound therapy was initiated for wound management.
  • The tibia was reconstructed using a vastus medialis muscle flap and a split-thickness skin graft.
  • Definitive treatment involved external fixation with an Ilizarov device.

Implications:

  • This case highlights a multidisciplinary approach for managing complex fractures in diabetic patients.
  • Successful limb salvage was achieved despite initial complications.
  • The Ilizarov device provided stable fixation for bone healing and soft tissue coverage.