LEG CONQUASATION CAUSED BY PETROL TILLER WITH OPEN LOWER LEG FRACTURE

• Published in: Acta Medica Medianae Vol. 53; no. 1; pp. 34 - 41
• 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: Journal Article
• Language: English
• Published: University in Nis, Faculty of Medicine 01.03.2014
• Subjects: external skeletal fixation; leg conquasation; open lower leg fracture; petrol tiller; primary surgical treatment
• ISSN: 0365-4478; 1821-2794
• DOI: 10.5633/amm.2014.0107

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.