Proximal tibia and fibula fractures associated with PCL avulsion in an adult with post polio residual paralysis - A case report

Background: Poliomyelitis, widely referred to as polio, is a highly contagious viral infectious disease induced by an enterovirus that mainly impacts the neurological system and results in lower limb disabilities. This case study describes an unusual combination of proximal tibia-fibular fractures a...

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Main Authors: Yusuf Omar Qalib, Sunil Dachepalli, Srinivasa Reddy Medagam
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Journal of Orthopaedic Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2773157X23000590
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author Yusuf Omar Qalib
Sunil Dachepalli
Srinivasa Reddy Medagam
author_facet Yusuf Omar Qalib
Sunil Dachepalli
Srinivasa Reddy Medagam
author_sort Yusuf Omar Qalib
collection DOAJ
description Background: Poliomyelitis, widely referred to as polio, is a highly contagious viral infectious disease induced by an enterovirus that mainly impacts the neurological system and results in lower limb disabilities. This case study describes an unusual combination of proximal tibia-fibular fractures and an avulsion fracture of tibial attachment of posterior cruciate ligament (PCL) in a patient with poliomyelitis. Case report: A 48-year-old man presented to our emergency department with complaints of pain, swelling, and inability to walk on his right leg following a fall. The patient underwent two separate open reduction and internal fixation approaches to address these significant injuries with the proper fixations. 9-months postoperatively, the patient recovered uneventfully without any complications. Conclusion: This uncommon combination of triad fractures should be recognized and addressed promptly, particularly in patients with a history of lower limb poliomyelitis. This unusual variety of unstable fractures poses unique surgical challenges that have not previously been reported in the literature for this type of injury.
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spelling doaj.art-8c1e8a5963df464d84efdf23ce396b652023-12-10T06:19:28ZengElsevierJournal of Orthopaedic Reports2773-157X2023-12-0124100187Proximal tibia and fibula fractures associated with PCL avulsion in an adult with post polio residual paralysis - A case reportYusuf Omar Qalib0Sunil Dachepalli1Srinivasa Reddy Medagam2Department of Orthopaedics, Yashoda Hospitals, Somajiguda, Hyderabad, Telangana, India; Department of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, ChinaDepartment of Orthopaedics, Yashoda Hospitals, Somajiguda, Hyderabad, Telangana, India; Corresponding author.Department of Orthopaedics, Yashoda Hospitals, Somajiguda, Hyderabad, Telangana, IndiaBackground: Poliomyelitis, widely referred to as polio, is a highly contagious viral infectious disease induced by an enterovirus that mainly impacts the neurological system and results in lower limb disabilities. This case study describes an unusual combination of proximal tibia-fibular fractures and an avulsion fracture of tibial attachment of posterior cruciate ligament (PCL) in a patient with poliomyelitis. Case report: A 48-year-old man presented to our emergency department with complaints of pain, swelling, and inability to walk on his right leg following a fall. The patient underwent two separate open reduction and internal fixation approaches to address these significant injuries with the proper fixations. 9-months postoperatively, the patient recovered uneventfully without any complications. Conclusion: This uncommon combination of triad fractures should be recognized and addressed promptly, particularly in patients with a history of lower limb poliomyelitis. This unusual variety of unstable fractures poses unique surgical challenges that have not previously been reported in the literature for this type of injury.http://www.sciencedirect.com/science/article/pii/S2773157X23000590PoliomyelitisTibiaFibulaPCLFractureCase report
spellingShingle Yusuf Omar Qalib
Sunil Dachepalli
Srinivasa Reddy Medagam
Proximal tibia and fibula fractures associated with PCL avulsion in an adult with post polio residual paralysis - A case report
Journal of Orthopaedic Reports
Poliomyelitis
Tibia
Fibula
PCL
Fracture
Case report
title Proximal tibia and fibula fractures associated with PCL avulsion in an adult with post polio residual paralysis - A case report
title_full Proximal tibia and fibula fractures associated with PCL avulsion in an adult with post polio residual paralysis - A case report
title_fullStr Proximal tibia and fibula fractures associated with PCL avulsion in an adult with post polio residual paralysis - A case report
title_full_unstemmed Proximal tibia and fibula fractures associated with PCL avulsion in an adult with post polio residual paralysis - A case report
title_short Proximal tibia and fibula fractures associated with PCL avulsion in an adult with post polio residual paralysis - A case report
title_sort proximal tibia and fibula fractures associated with pcl avulsion in an adult with post polio residual paralysis a case report
topic Poliomyelitis
Tibia
Fibula
PCL
Fracture
Case report
url http://www.sciencedirect.com/science/article/pii/S2773157X23000590
work_keys_str_mv AT yusufomarqalib proximaltibiaandfibulafracturesassociatedwithpclavulsioninanadultwithpostpolioresidualparalysisacasereport
AT sunildachepalli proximaltibiaandfibulafracturesassociatedwithpclavulsioninanadultwithpostpolioresidualparalysisacasereport
AT srinivasareddymedagam proximaltibiaandfibulafracturesassociatedwithpclavulsioninanadultwithpostpolioresidualparalysisacasereport