COMPLEX TRAUMA OF THE LIMBS “LIMB AND LIFE THREATENING INJURIES”

CLINICAL CASE

  • T. C. Munteanu The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
  • D. Zamfirescu The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania & Plastic Surgery and Reconstructive Microsurgery Clinic, The Emergency Clinical Hospital, Bucharest, Romania
  • M. Nagea Orthopedic and Traumatology Clinic, The Emergency Clinical Hospital, Bucharest, Romania
  • A. Dumitriu Orthopedic and Traumatology Clinic, The Emergency Clinical Hospital, Bucharest, Romania
  • N. Ciurea Orthopedic and Traumatology Clinic, The Emergency Clinical Hospital, Bucharest, Romania
  • Oliviera Lupescu The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania & Orthopedic and Traumatology Clinic, The Emergency Clinical Hospital, Bucharest, Romania
Keywords: osteitis, crushing injury, haemoragic shock, debridement, vascular graft, pluridisciplinary team

Abstract

Complex limb trauma are extremely severe and pose a threat both to the patient’s life, because of their systemic impact, as well as to the vitality of the traumatized limb, because of potentially severe septic complications. Post-traumatic (post fracture) osteitis is most often a consequence of an open fracture (always contaminated) or a closed operated fracture which was contaminated by pathogenic germs, the most common of which is Staphylococcus aureus (but Gram-negative bacteria, such as Klebsiella, Pseudomonas and Proteus are also worth mentioning). The consequence of an acute osteitis which was incompletely or inadequately treated is chronic osteitis, which requires long-term treatment, with inconsistent outcome results. To describe this topic, we present the case of a 15 year old pacient, which presents at the hospital as a surgical emergency, following a complex high energy trauma cause by a smash-up, whose survival and then healing, in spite of complete and correct approach, were extremely problematic/challenging, and called for a massive amount of human, financial and temporal resources.

Published
2015-04-01
How to Cite
[1]
T. Munteanu, D. Zamfirescu, M. Nagea, A. Dumitriu, N. Ciurea, and O. Lupescu, “COMPLEX TRAUMA OF THE LIMBS ‘LIMB AND LIFE THREATENING INJURIES’”, JSS, vol. 2, no. 2, pp. 97-103, Apr. 2015.
Section
Articles