Management of nonunion after an old - neglected ankle fracture in diabetic patient; case report
Journal Title: Journal of Clinical and Investigative Surgery - Year 2016, Vol 1, Issue 2
Abstract
Ankle fractures represent 9% of fractures. Even if it is a relatively usual fracture, the presence of diabetes makes treatment more difficult and rate of complications is higher than in the rest of population. The incidence of ankle fractures increased in the last half century. Many studies from SUA, England, Sweden and Finland suggest that the epidemiology of ankle fractures continues to change as populations age, up to the age 60 of years in men and above age of 50 years in women. Two-thirds of fractures are isolated malleolar fractures, bimalleolar fractures occur in one-fourth of patients and trimaleolar fractures occur in the rest of them. We present a case of 60 years old women with non-insulin dependent diabetes for 22 years who sustained a fracture of ankle. Her first presentation at doctor was after 4 months after injury and surgical treatment occurred after 8 months after the injury. She was operated using an external fixator. Despite the fact the treatment was delayed, the evolution of lesion was good and patient could regained normal gate.
Authors and Affiliations
Tudor M. Gavrilă, Ștefan Cristea
Is adjuvant hysterectomy an option after radio-chemotherapy for locally advanced cervical cancer? A review.
Objective. The purpose of this paper is to review the current concepts in the literature regarding the beneficial effects of adjuvant surgery after concurrent radio-chemotherapy for locally advanced cervical cancer. Meth...
Median forehead flap - beyond classic indication
Introduction. The paramedian forehead flap is one of the best options for reconstruction of the median upper two-thirds of the face due to its vascularity, color, texture match and ability to resurface all or part of the...
Synchronous rectal and breast cancer in a 40-year-old woman
Multiple primary malignancies have an increasing incidence in the general population due to better diagnostic tools and the increased life expectancy. However, synchronous lesions are still rare and have a rate which var...
Arthroscopic treatment for elbow intraarticular loose bodies
We present a case of 29 years old man, diver, exposed to heavy work. He accused pain at the level of right elbow. Plain radiographs suggested a calcified intra-articular body. Intra-articular bodies are generally compose...
Essentials of surgical anatomy and technique in TAPP repair of inguinal hernia
Laparoscopic hernia repair has opened a new era in hernia surgery shifting paradigms from anterior to posterior approaches. This has exposed surgeons to new anatomical perspectives, technical challenges and clinical impl...