Optimal Treatment of the Septic Pseudarthrosis of the Tibial Pestle: About A Case
Journal Title: Saudi Journal of Medical and Pharmaceutical Sciences - Year 2018, Vol 4, Issue 9
Abstract
The deleterious association of non-bone consolidation and septic complication is a therapeutic challenge for orthopedic surgeons. Tibial fractures are a source of high rates of nonunion and septic and cutaneous complications. Here we present the case of a 56-year-old patient with a history of vascular, cardiac and obstructive post-smoking bronchopneumopathy who presented septic pseudarthrosis of the left tibial pilon with cutaneous complications and whose treatment consisted of , initially in an induced membrane technique, associated with a cutaneous cover by a lateral fasciocutaneous flap of the thigh and an osteosynthesis by a Hexapodal external fixator type True Lock. During the second stage, the bone graft was removed by endomedullary boring of the contralateral femur using the device named Reamer-Irrigator-Aspirator, and the stems of the external fixator were replaced by other rods allowing adjustment multiplicane and thus a gradual three-dimensional reduction as the consolidation progresses.
Authors and Affiliations
Mohamed Ben- Aissi, Redouane Hani, Mohammed Kadiri, Moncef Boufettal, Paolo Palmari, Mohamed Kharmaz, Moulay Omar Lamrani, Ahmed El Bardouni, Mustapha Mahfoud, Mohamed Saleh Berrada
Polycythemia Vera presenting with stroke and complicated by deep venous thrombosis – short case series
Abstract: Polycythemia Vera a myeloproliferative disorder sometimes associated with vascular complications like stroke. The clinical course may be complicated by deep vein thrombosis at multiple sites if the underlying h...
Butler’s Neural Mobilization Versus Maitland’s Spinal Mobilization Technique in C5-C8 Cervical Radiculopathy
The major objective of this study was to know about the efficacy of neural and spinal mobilization in patients with cervical radiculopathy and difference between the end results of both techniques. The sample population...
A Validated Reversed Phase HPLC Assay for the Determination of Dexamethasone in Human Plasma
Abstract:A simple and precise reversed-phase high performance liquid chromatography (HPLC) assay for the determination of dexamethasone in human plasma was developed and validated. 1.0 ml plasma samples containing dexame...
Task Shifting: A Need for Current Health Care System
Abstract: World is facing a crisis in human health resources due to a critical shortage of health workers. Despite of many trained health care professionals our health care system is struggling to provide optimum servic...
Appendicular Abscess to Streptococcus constellatus : Case Report
Abstract: Streptococcus constellatus is a germ that belongs to the Streptococcus millerigroup, it has a particular tropism for the digestive tract and the hepatobiliary region. It is found in deep abscesses in immunocomp...