LEG CONQUASATION CAUSED BY PETROL TILLER WITH OPEN LOWER LEG FRACTURE

We present a 71-year old patient admitted to Plastic and Reconstructive Surgery Clinic, Clinical Center Niš for the right leg conquasation. The patient was injured accidentally by a petrol tiller. On admission, both thigh and lower leg conquasation was observed with large wound on anteromedial thigh...

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Main Authors: Ivan Golubović, Predrag Stojiljković, Zoran Golubović, Stevica Jeremić, Milan Radojković, Goran Stevanović, Stevo Najman, Dragan Mihailović, Slađana Petrović, Zoran Radovanović, Sonja Stamenić, Saša Stojanović, Marija Trenkić Bozinovic, Lazar Lazović, Vladimir Živković, Aleksandar Tasić, Miroslav Trajanović
Format: Article
Language:English
Published: University in Nis, Faculty of Medicine 2014-03-01
Series:Acta Medica Medianae
Subjects:
Online Access:http://publisher.medfak.ni.ac.rs/2014-html/1-broj/Ivan%20Golubovic-%20Leg.pdf
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author Ivan Golubović
Predrag Stojiljković
Zoran Golubović
Stevica Jeremić
Milan Radojković
Goran Stevanović
Stevo Najman
Dragan Mihailović
Slađana Petrović
Zoran Radovanović
Sonja Stamenić
Saša Stojanović
Marija Trenkić Bozinovic
Lazar Lazović
Vladimir Živković
Aleksandar Tasić
Miroslav Trajanović
author_facet Ivan Golubović
Predrag Stojiljković
Zoran Golubović
Stevica Jeremić
Milan Radojković
Goran Stevanović
Stevo Najman
Dragan Mihailović
Slađana Petrović
Zoran Radovanović
Sonja Stamenić
Saša Stojanović
Marija Trenkić Bozinovic
Lazar Lazović
Vladimir Živković
Aleksandar Tasić
Miroslav Trajanović
author_sort Ivan Golubović
collection DOAJ
description We present a 71-year old patient admitted to Plastic and Reconstructive Surgery Clinic, Clinical Center Niš for the right leg conquasation. The patient was injured accidentally by a petrol tiller. On admission, both thigh and lower leg conquasation was observed with large wound on anteromedial thigh and one on medial side of the lower leg. Soft tissue and bones were covered with dirt and pieces of clothing. The wounds were thoroughly rinsed and dirt was removed followed by detailed debridement. After primary surgical treatment of the wound, open proximal lower leg fracture was stabilized with external skeletal fixation using two nails in the proximal and two nails in the distal fragment. Soft tissue defect was treated by plastic surgeon. The patient was administered anti-tetanus protection, antibiotic treatment and anticoagulant prophylaxis of deep vein thrombosis and pulmonary thromboembolism. Physical therapy was initiated subsequent to successful healing of the soft tissue wounds. External skeletal fixation was removed after three months for infection around the proximal nails and the treatment was contuinued using functional Sarmiento’s plaster imobilization leading to full recovery of open lower leg fracture.
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spelling doaj.art-8d40a49544fc40ac92e1b5702ca2ba902022-12-22T00:58:53ZengUniversity in Nis, Faculty of MedicineActa Medica Medianae0365-44781821-27942014-03-01531344110.5633/amm.2014.0107LEG CONQUASATION CAUSED BY PETROL TILLER WITH OPEN LOWER LEG FRACTUREIvan Golubović0Predrag Stojiljković1Zoran Golubović2Stevica Jeremić3Milan Radojković4Goran Stevanović5Stevo Najman6Dragan Mihailović7Slađana Petrović8Zoran Radovanović9Sonja Stamenić10 Saša Stojanović11Marija Trenkić Bozinovic12 Lazar Lazović13Vladimir Živković14Aleksandar Tasić15Miroslav Trajanović16Clinic of Orthopedics and Traumatology, Clinical Center Niš, SerbiaClinic of Orthopedics and Traumatology, Clinical Center Niš, SerbiaClinic of Orthopedics and Traumatology, Clinical Center Niš, SerbiaClinic of Orthopedics and Traumatology, Clinical Center Niš, SerbiaFaculty of Medicine in Niš, SerbiaFaculty of Medicine in Niš, SerbiaFaculty of Medicine in Niš, SerbiaFaculty of Medicine in Niš, SerbiaInstitute of Radiology, Clinical Center Niš, SerbiaFaculty of Medicine in Niš, SerbiaClinic of Orthopedics and Traumatology, Clinical Center Niš, SerbiaClinic of Orthopedics and Traumatology, Clinical Center Niš, SerbiaFaculty of Medicine in Niš, SerbiaInstitute of Radiology, Clinical Center Niš, SerbiaClinic of Orthopedics and Traumatology, Clinical Center Niš, SerbiaInstitute of Radiology, Clinical Center Niš, SerbiaFaculty of Mechanical Engineering in Niš, SerbiaWe present a 71-year old patient admitted to Plastic and Reconstructive Surgery Clinic, Clinical Center Niš for the right leg conquasation. The patient was injured accidentally by a petrol tiller. On admission, both thigh and lower leg conquasation was observed with large wound on anteromedial thigh and one on medial side of the lower leg. Soft tissue and bones were covered with dirt and pieces of clothing. The wounds were thoroughly rinsed and dirt was removed followed by detailed debridement. After primary surgical treatment of the wound, open proximal lower leg fracture was stabilized with external skeletal fixation using two nails in the proximal and two nails in the distal fragment. Soft tissue defect was treated by plastic surgeon. The patient was administered anti-tetanus protection, antibiotic treatment and anticoagulant prophylaxis of deep vein thrombosis and pulmonary thromboembolism. Physical therapy was initiated subsequent to successful healing of the soft tissue wounds. External skeletal fixation was removed after three months for infection around the proximal nails and the treatment was contuinued using functional Sarmiento’s plaster imobilization leading to full recovery of open lower leg fracture.http://publisher.medfak.ni.ac.rs/2014-html/1-broj/Ivan%20Golubovic-%20Leg.pdfleg conquasationpetrol tilleropen lower leg fractureprimary surgical treatmentexternal skeletal fixation
spellingShingle Ivan Golubović
Predrag Stojiljković
Zoran Golubović
Stevica Jeremić
Milan Radojković
Goran Stevanović
Stevo Najman
Dragan Mihailović
Slađana Petrović
Zoran Radovanović
Sonja Stamenić
Saša Stojanović
Marija Trenkić Bozinovic
Lazar Lazović
Vladimir Živković
Aleksandar Tasić
Miroslav Trajanović
LEG CONQUASATION CAUSED BY PETROL TILLER WITH OPEN LOWER LEG FRACTURE
Acta Medica Medianae
leg conquasation
petrol tiller
open lower leg fracture
primary surgical treatment
external skeletal fixation
title LEG CONQUASATION CAUSED BY PETROL TILLER WITH OPEN LOWER LEG FRACTURE
title_full LEG CONQUASATION CAUSED BY PETROL TILLER WITH OPEN LOWER LEG FRACTURE
title_fullStr LEG CONQUASATION CAUSED BY PETROL TILLER WITH OPEN LOWER LEG FRACTURE
title_full_unstemmed LEG CONQUASATION CAUSED BY PETROL TILLER WITH OPEN LOWER LEG FRACTURE
title_short LEG CONQUASATION CAUSED BY PETROL TILLER WITH OPEN LOWER LEG FRACTURE
title_sort leg conquasation caused by petrol tiller with open lower leg fracture
topic leg conquasation
petrol tiller
open lower leg fracture
primary surgical treatment
external skeletal fixation
url http://publisher.medfak.ni.ac.rs/2014-html/1-broj/Ivan%20Golubovic-%20Leg.pdf
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