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Tibiofibula Transposition in High-Energy Fractures
المؤلفون المشاركون
Loughenbury, Peter R.
Gledhill, Rebecca A.
Evans, Nick
المصدر
Case Reports in Emergency Medicine
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-10-11
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
We report two cases of failed attempts at closed reduction of high-energy tibial fractures with an associated fibula fracture.
The first case was a 39-year-old male involved in high-speed motorbike collision, while the second was a 14-year-old male who injured his leg following a fall of three metres.
Emergency medical services at the scenes of the accidents reported a 90-degree valgus deformity of the injured limb and both limbs were realigned on scene and stabilized.
Adequate alignment of the tibia could not be achieved by manipulation under sedation or anaesthesia.
Open reduction and exposure of the fracture sites revealed that the distal fibula fragment was “transposed” and entrapped in the medulla of the proximal tibial fragment.
Reduction required simulation of the mechanism of injury in order to disengage the fragments and allow reduction.
Tibiofibula transposition is a rare complication of high-energy lower limb fractures which has not previously been reported and may prevent adequate closed reduction.
Impaction of the distal fibula within the tibial medulla occurs as the limb is realigned by paramedic staff before transfer to hospital.
We recommend that when this complication is identified the patient is transferred to the operating room for open reduction and stabilization of the fracture.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Loughenbury, Peter R.& Gledhill, Rebecca A.& Evans, Nick. 2016. Tibiofibula Transposition in High-Energy Fractures. Case Reports in Emergency Medicine،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100733
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Loughenbury, Peter R.…[et al.]. Tibiofibula Transposition in High-Energy Fractures. Case Reports in Emergency Medicine No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1100733
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Loughenbury, Peter R.& Gledhill, Rebecca A.& Evans, Nick. Tibiofibula Transposition in High-Energy Fractures. Case Reports in Emergency Medicine. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100733
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1100733
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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