Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture: Treatment with Acute Deformity and External Fixation

Case. A 31-year-old male was involved in a dirt bike accident and sustained an isolated type II open mid-distal tibia fracture. The patient underwent suprapatellar intramedullary nailing and subsequently developed knee sepsis. Conclusion. This patient was managed with irrigation and debridements of...

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Main Authors: Chelsea E. Minoughan, Adam P. Schumaier, Frank R. Avilucea
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2019/3185286
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author Chelsea E. Minoughan
Adam P. Schumaier
Frank R. Avilucea
author_facet Chelsea E. Minoughan
Adam P. Schumaier
Frank R. Avilucea
author_sort Chelsea E. Minoughan
collection DOAJ
description Case. A 31-year-old male was involved in a dirt bike accident and sustained an isolated type II open mid-distal tibia fracture. The patient underwent suprapatellar intramedullary nailing and subsequently developed knee sepsis. Conclusion. This patient was managed with irrigation and debridements of the knee, fracture site, and intramedullary canal. A resultant soft-tissue defect over the fracture site obviated primary closure. Creation of an acute deformity stabilized by a Taylor spatial frame allowed primary wound closure. After soft tissue healing occurred, the frame was used to correct the intentional deformity and maintain reduction until full healing occurred.
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spelling doaj-art-2062428160fe482e8c36cea14f51f1a72025-02-03T01:02:24ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/31852863185286Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture: Treatment with Acute Deformity and External FixationChelsea E. Minoughan0Adam P. Schumaier1Frank R. Avilucea2University of Cincinnati Department of Orthopaedics and Sports Medicine, Cincinnati, OH, USAUniversity of Cincinnati Department of Orthopaedics and Sports Medicine, Cincinnati, OH, USAOrlando Health Orthopedic Institute Orthopedic and Sports Medicine Group, Orlando, FL, USACase. A 31-year-old male was involved in a dirt bike accident and sustained an isolated type II open mid-distal tibia fracture. The patient underwent suprapatellar intramedullary nailing and subsequently developed knee sepsis. Conclusion. This patient was managed with irrigation and debridements of the knee, fracture site, and intramedullary canal. A resultant soft-tissue defect over the fracture site obviated primary closure. Creation of an acute deformity stabilized by a Taylor spatial frame allowed primary wound closure. After soft tissue healing occurred, the frame was used to correct the intentional deformity and maintain reduction until full healing occurred.http://dx.doi.org/10.1155/2019/3185286
spellingShingle Chelsea E. Minoughan
Adam P. Schumaier
Frank R. Avilucea
Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture: Treatment with Acute Deformity and External Fixation
Case Reports in Orthopedics
title Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture: Treatment with Acute Deformity and External Fixation
title_full Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture: Treatment with Acute Deformity and External Fixation
title_fullStr Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture: Treatment with Acute Deformity and External Fixation
title_full_unstemmed Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture: Treatment with Acute Deformity and External Fixation
title_short Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture: Treatment with Acute Deformity and External Fixation
title_sort knee sepsis after suprapatellar nailing of an open tibia fracture treatment with acute deformity and external fixation
url http://dx.doi.org/10.1155/2019/3185286
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