Intravenous Drug Abuser Treated for Chronic Infected Open Forearm Fracture with Shortening and Primary Wound Closure
Summary:. Neglected and open forearm fracture wounds accompanied by shortening are complex injuries that are seldom reported in the known literature. We describe a patient with a history of chronic intravenous drug abuse (IVDA) and a neglected forearm wound with radius and ulna fractures with chroni...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-12-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005465 |
| _version_ | 1797375030245457920 |
|---|---|
| author | Abhijith Annasamudram, MD Ahmed H. Elhessy, MD Ipek G. Eralp, MD Janet D. Conway, MD |
| author_facet | Abhijith Annasamudram, MD Ahmed H. Elhessy, MD Ipek G. Eralp, MD Janet D. Conway, MD |
| author_sort | Abhijith Annasamudram, MD |
| collection | DOAJ |
| description | Summary:. Neglected and open forearm fracture wounds accompanied by shortening are complex injuries that are seldom reported in the known literature. We describe a patient with a history of chronic intravenous drug abuse (IVDA) and a neglected forearm wound with radius and ulna fractures with chronic osteomyelitis managed by limb salvage. The patient had a history of IVDA and a neglected forearm wound with fractures in both the radius and ulna, along with chronic osteomyelitis. The approach taken to manage this complex injury involved limb salvage. The case emphasizes the treatment challenges associated with patients who had IVDA and neglected their wounds. Thorough evaluation combining clinical and radiological assessments, followed by appropriate surgical planning and intervention, played a crucial role in restoring the functional status of the limb. Neglected open fracture wounds in the forearm are uncommon and have limited documentation in the existing literature. The described patient’s chronic history of IVDA and the disregarded open forearm osteomyelitis exemplify the severe consequences that can arise from injectable drug abuse in the upper extremity. In such cases, limb preservation and optimization of functional outcomes become paramount. To the best of our knowledge, this is one among the few reported cases of this nature, highlighting the significance of sharing such experiences to enhance medical understanding and inform future treatment approaches. |
| first_indexed | 2024-03-08T19:16:18Z |
| format | Article |
| id | doaj.art-3ce1602b6ba644ec986bfa3f2a00a1dd |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-08T19:16:18Z |
| publishDate | 2023-12-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-3ce1602b6ba644ec986bfa3f2a00a1dd2023-12-27T06:50:05ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-12-011112e546510.1097/GOX.0000000000005465202312000-00052Intravenous Drug Abuser Treated for Chronic Infected Open Forearm Fracture with Shortening and Primary Wound ClosureAbhijith Annasamudram, MD0Ahmed H. Elhessy, MD1Ipek G. Eralp, MD2Janet D. Conway, MD3From the * International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Md.From the * International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Md.† Robert Wood Johnson Medical School, Rutgers University, New Brunswick, N.J.From the * International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Md.Summary:. Neglected and open forearm fracture wounds accompanied by shortening are complex injuries that are seldom reported in the known literature. We describe a patient with a history of chronic intravenous drug abuse (IVDA) and a neglected forearm wound with radius and ulna fractures with chronic osteomyelitis managed by limb salvage. The patient had a history of IVDA and a neglected forearm wound with fractures in both the radius and ulna, along with chronic osteomyelitis. The approach taken to manage this complex injury involved limb salvage. The case emphasizes the treatment challenges associated with patients who had IVDA and neglected their wounds. Thorough evaluation combining clinical and radiological assessments, followed by appropriate surgical planning and intervention, played a crucial role in restoring the functional status of the limb. Neglected open fracture wounds in the forearm are uncommon and have limited documentation in the existing literature. The described patient’s chronic history of IVDA and the disregarded open forearm osteomyelitis exemplify the severe consequences that can arise from injectable drug abuse in the upper extremity. In such cases, limb preservation and optimization of functional outcomes become paramount. To the best of our knowledge, this is one among the few reported cases of this nature, highlighting the significance of sharing such experiences to enhance medical understanding and inform future treatment approaches.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005465 |
| spellingShingle | Abhijith Annasamudram, MD Ahmed H. Elhessy, MD Ipek G. Eralp, MD Janet D. Conway, MD Intravenous Drug Abuser Treated for Chronic Infected Open Forearm Fracture with Shortening and Primary Wound Closure Plastic and Reconstructive Surgery, Global Open |
| title | Intravenous Drug Abuser Treated for Chronic Infected Open Forearm Fracture with Shortening and Primary Wound Closure |
| title_full | Intravenous Drug Abuser Treated for Chronic Infected Open Forearm Fracture with Shortening and Primary Wound Closure |
| title_fullStr | Intravenous Drug Abuser Treated for Chronic Infected Open Forearm Fracture with Shortening and Primary Wound Closure |
| title_full_unstemmed | Intravenous Drug Abuser Treated for Chronic Infected Open Forearm Fracture with Shortening and Primary Wound Closure |
| title_short | Intravenous Drug Abuser Treated for Chronic Infected Open Forearm Fracture with Shortening and Primary Wound Closure |
| title_sort | intravenous drug abuser treated for chronic infected open forearm fracture with shortening and primary wound closure |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005465 |
| work_keys_str_mv | AT abhijithannasamudrammd intravenousdrugabusertreatedforchronicinfectedopenforearmfracturewithshorteningandprimarywoundclosure AT ahmedhelhessymd intravenousdrugabusertreatedforchronicinfectedopenforearmfracturewithshorteningandprimarywoundclosure AT ipekgeralpmd intravenousdrugabusertreatedforchronicinfectedopenforearmfracturewithshorteningandprimarywoundclosure AT janetdconwaymd intravenousdrugabusertreatedforchronicinfectedopenforearmfracturewithshorteningandprimarywoundclosure |