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Guarigione di una pseudoartrosi atrofica diafisaria di tibia trattata con chiodo endomidollare bloccato e gel piastrinico nonostante l’insorgere di infezione

Guarigione di una pseudoartrosi atrofica diafisaria di tibia trattata con chiodo endomidollare... Intramedullary locking nailing combined with a Platelet Rich Plasma application is an option usually indicated in non-infected pseudoarthrosis of the long bones. Sometimes these treatments can be complicated by infections, considered general or local patients conditions. We present a case of a female 27-years-old who had an atropic tibial pseudarthrosis as a consequence of a motorcycle accident where she had a femoral condylar fracture and tibial shaft fracture. The patient was submitted to a closed reduction and external fixation in emergency. She presented a non-union in 4 months after trauma. So we performed another surgical treatment consisted by external fixator removing, bone reaming and nailing locking fixation with platelet rich plasma and bone chips transplant in non-union side. One month after this second treatment the patient presented a skin dehiscence that lead to tibial exposition and a side infection. She has started a parenteral antibiotic and Vacuum Therapy and only when some consolidation signs improved we removed internal synthesis and another small external fixator positioned. The fracture was healed after three months of this surgical step. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archivio di Ortopedia e Reumatologia Springer Journals

Guarigione di una pseudoartrosi atrofica diafisaria di tibia trattata con chiodo endomidollare bloccato e gel piastrinico nonostante l’insorgere di infezione

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Publisher
Springer Journals
Copyright
Copyright © 2013 by Springer-Verlag Italia
Subject
Medicine & Public Health; Orthopedics
ISSN
0390-7368
eISSN
1592-7113
DOI
10.1007/s10261-013-0043-4
Publisher site
See Article on Publisher Site

Abstract

Intramedullary locking nailing combined with a Platelet Rich Plasma application is an option usually indicated in non-infected pseudoarthrosis of the long bones. Sometimes these treatments can be complicated by infections, considered general or local patients conditions. We present a case of a female 27-years-old who had an atropic tibial pseudarthrosis as a consequence of a motorcycle accident where she had a femoral condylar fracture and tibial shaft fracture. The patient was submitted to a closed reduction and external fixation in emergency. She presented a non-union in 4 months after trauma. So we performed another surgical treatment consisted by external fixator removing, bone reaming and nailing locking fixation with platelet rich plasma and bone chips transplant in non-union side. One month after this second treatment the patient presented a skin dehiscence that lead to tibial exposition and a side infection. She has started a parenteral antibiotic and Vacuum Therapy and only when some consolidation signs improved we removed internal synthesis and another small external fixator positioned. The fracture was healed after three months of this surgical step.

Journal

Archivio di Ortopedia e Reumatologia – Springer Journals

Published: Jan 10, 2014

References

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