Mcfarlandkaplan6873
Acetabular reconstruction in a patient with neglected DDH during complex primary total hip replacement is a challenging procedure to do. We are reporting assessment of acetabular defect in one such patient with pre-operative 3D printing, followed by reconstruction with trabecular metal shell and augments.
A 32-year-old female with neglected DDH (Crowe's type 4) reported to us with pain, limp, and shortening of affected limb. Operated somewhere else with THR, she had a missing acetabular component and coral stem in situ at the time of presentation. Acetabular defect was assessed by 3D printing of pelvis following which acetabular reconstruction with tantalum cup and augments along with femoral stem revision was done.
This study confirmed the role of 3D printing pelvis model in meticulous pre-operative planning in patients with complex hip deformities. Reconstruction of acetabular defects with tantalum cup, and augments is a reasonable solution to achieve better function.
This study confirmed the role of 3D printing pelvis model in meticulous pre-operative planning in patients with complex hip deformities. Reconstruction of acetabular defects with tantalum cup, and augments is a reasonable solution to achieve better function.
Autologous bone graft is a commonly used procedure in orthopaedic surgery. Autologous bone is used to promote bone healing in fractures and to provide structural support for reconstructive surgery. Phenol Red sodium mouse Iliac bone is one of the common sites for harvesting autologous bone graft. Hernia through an iliac crest defect following bone graft harvesting is a major but very rare complication.
An 80-year-old female patient operated for left subtrochanteric femur fracture with dynamic condylar screw and iliac bone graft. Ten months after the surgery, the patient came with the complaints of reducible swelling in the left flank over the incision site. On the basis of clinical examination and investigations, the swelling was diagnosed as an incisional hernia from the defect in the iliac bone graft site.
Hernia through an iliac crest defect following bone graft harvesting is very rare but a major complication. Attention should be paid while harvesting bone graft to avoid this complication.
Hernia through an iliac crest defect following bone graft harvesting is very rare but a major complication. Attention should be paid while harvesting bone graft to avoid this complication.
Combined talar body fracture with a medial malleolar fracture is rare in literature.
A 30-year-old female presented to our hospital with complaints of pain and swelling over the right ankle joint with difficulty in bearing weight following a motor vehicle accident. Investigation showed talar body fracture of type 2 Sneppen (classification) with an ipsilateral medial malleolar fracture. Fractured talus was openly reduced with the help of reduction clamp and appropriate sized Herbert screw applied to hold the reduction. The medial malleolar fracture was fixed with an appropriate-sized cannulated cancellous screw after confirming satisfactory reduction. The patient was followed up for wound complications, AVN changes, early osteoarthritic changes, and functional outcome.
The combined talar body fracture, ankle dislocation with a medial malleolar fracture, should be managed; as soon as, a diagnosis is made to get a good functional outcome, even though the incidence of skin complication, AVN risk, and post-traumatic ankle arthritis could not be predicted even though it was absent in our case.
The combined talar body fracture, ankle dislocation with a medial malleolar fracture, should be managed; as soon as, a diagnosis is made to get a good functional outcome, even though the incidence of skin complication, AVN risk, and post-traumatic ankle arthritis could not be predicted even though it was absent in our case.
Posterolateral knee dislocations are extremely rare and generally require open reduction; however, we were able to provide closed reduction by reproducing mechanism of injury with a technique described in the literature. This is the second reported case of such accomplishment.
Posterolateral knee dislocation is the most common form of "irreducible" knee dislocations. Buttonholing of the medial femoral condyle through medial soft tissues of the knee results in entrapment. We report the second known case of successful closed reduction.
A 51-year-old female with morbid obesity sustained a right posterolateral knee dislocation shown on plain radiograph. This was accompanied by lateral patella dislocation and a dimple sign at the medial joint line after a fall from standing height produced a rotational mechanism.
This is the second reported case of successful closed reduction to an injury that has been generally established to be "irreducible." The technique used closely matches that described in the only other reported case and involves reproduction of the mechanism of injury. This establishes additional evidence to a previously isolated report of successful acute treatment that counters the current narrative.
This is the second reported case of successful closed reduction to an injury that has been generally established to be "irreducible." The technique used closely matches that described in the only other reported case and involves reproduction of the mechanism of injury. This establishes additional evidence to a previously isolated report of successful acute treatment that counters the current narrative.
Posterior hip dislocation with an ipsilateral femur fracture is a rare injury - unfortunately, due to high-speed crashes, these complex injuries are increasing in nature.
This case report examines a 24-year-old male who was involved in a high-speed motorcycle accident. X-ray imaging after clinical suspicion exhibited a posterior hip. dislocation and ipsilateral femoral shaft fractures. Following unsuccessful reduction, the patient was treated under general anesthesia with a temporary external fixator followed by intramedullary nailing of the shaft.
Hip dislocation is a traumatic injury and an emergency. Although the treatment of a posterior hip dislocation can prove difficult in the context of an ipsilateral fracture, a closed reduction with intermedullary nailing can prove difficult and might require a Schanz screw of external fixation for the purposes of leverage and reduction.
Hip dislocation is a traumatic injury and an emergency. Although the treatment of a posterior hip dislocation can prove difficult in the context of an ipsilateral fracture, a closed reduction with intermedullary nailing can prove difficult and might require a Schanz screw of external fixation for the purposes of leverage and reduction.
