Elyazid Houass , Mohamed Rida Elgaliou , Hafsa Riache , Monsef Boufettal , Rida Allah Bassir
{"title":"Open distal femur physeal fracture with positional vascular compromise and ipsilateral open tibia fracture: A rare case report","authors":"Elyazid Houass , Mohamed Rida Elgaliou , Hafsa Riache , Monsef Boufettal , Rida Allah Bassir","doi":"10.1016/j.visj.2024.101970","DOIUrl":null,"url":null,"abstract":"<div><p>This case report outlines the management of a 16-year-old male with a rare combination of injuries : an open distal femur physeal fracture, ipsilateral open diaphyseal tibia fracture, and vascular compromise due to bone displacement following a crush injury by a car. Immediate interventions included pain management, wound care, and emergency reduction of fractures. Vascular exploration, along with orthopedic interventions, were crucial for the patient's recovery. Successful surgical interventions led to gradual improvement, with restored distal pulses and neurovascular function. The patient was discharged for rehabilitation, highlighting the importance of prompt multidisciplinary care in achieving favorable outcomes for complex trauma. This case contributes to the understanding of orthopedic trauma management, presenting the first documented instance of such a combination of injuries.</p></div>","PeriodicalId":37961,"journal":{"name":"Visual Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Visual Journal of Emergency Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S240546902400061X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
This case report outlines the management of a 16-year-old male with a rare combination of injuries : an open distal femur physeal fracture, ipsilateral open diaphyseal tibia fracture, and vascular compromise due to bone displacement following a crush injury by a car. Immediate interventions included pain management, wound care, and emergency reduction of fractures. Vascular exploration, along with orthopedic interventions, were crucial for the patient's recovery. Successful surgical interventions led to gradual improvement, with restored distal pulses and neurovascular function. The patient was discharged for rehabilitation, highlighting the importance of prompt multidisciplinary care in achieving favorable outcomes for complex trauma. This case contributes to the understanding of orthopedic trauma management, presenting the first documented instance of such a combination of injuries.
期刊介绍:
The Visual Journal of Emergency Medicine publishes image-based case discussions representing the entire core curriculum and subspecialties of clinical emergency medicine. Images include clinical photos, EKGs, ultrasound images, plain radiographs, and representative CT and MR images. Each image-based case will include a question and answer set. Published in a mobile optimized online format, the journal provides a multidisciplinary clinical and educational publishing opportunity for emergency physicians, emergency medicine and other residents, fellows, emergency nurses, physician assistants, EMTs, paramedics, and clinicians in related fields. All submissions are peer-reviewed.