Singhi Prahalad Kumar, Sivakumar R, Somashekar V, Kusabi Vinayak, Vinoth T
Preethi Hospitals Pvt Ltd., Madurai, India.
J Clin Orthop Trauma. 2016 Oct-Dec;7(Suppl 1):48-51. doi: 10.1016/j.jcot.2016.09.004. Epub 2016 Dec 6.
Traumatic extrusion of bone is a rare complication of high energy open fractures, and there are only few studies published in literature on reimplantation of the extruded bone segment. Studies with clear guidelines regarding timing of reimplantation, stabilisation of extruded bone segments, bone disinfection and disinfection techniques are very few. Previous reports describe disinfection using thermal or chemical methods. We present a case scenario of successful reimplantation of an extruded metaphyseal segment of distal femoral condyle following cleaning with copious saline and soaked in 10% povidine-iodine for 20 min in a 21 year old male patient of a complex floating knee injury with excellent outcome based on Karlstrom and Olerud criteria.
骨创伤性挤压是高能开放性骨折的一种罕见并发症,关于再植入挤压骨段的文献报道很少。关于再植入时机、挤压骨段固定、骨消毒及消毒技术的明确指南的研究非常少。既往报道描述了使用热或化学方法进行消毒。我们报告了1例21岁男性复杂浮动膝损伤患者,其股骨远端髁干骺端挤压段经大量生理盐水冲洗并浸泡于10%聚维酮碘中20分钟后成功再植入,根据Karlstrom和Olerud标准,预后良好。