Gas Gangrene as a Result of Femoral Traction Pin Placement

Treatment of adult femoral shaft fractures typically involves operative stabilization with intramedullary implants, external fixation, or a plate and screw construct. However, when stabilization is delayed for any reason, use of a traction pin is recommended to stabilize the fracture, prevent signi...

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Main Authors: Benjamin C. Taylor, Thomas J. Bramwell, Nathan Formaini
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2011/459812
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author Benjamin C. Taylor
Thomas J. Bramwell
Nathan Formaini
author_facet Benjamin C. Taylor
Thomas J. Bramwell
Nathan Formaini
author_sort Benjamin C. Taylor
collection DOAJ
description Treatment of adult femoral shaft fractures typically involves operative stabilization with intramedullary implants, external fixation, or a plate and screw construct. However, when stabilization is delayed for any reason, use of a traction pin is recommended to stabilize the fracture, prevent significant shortening, as well as to help with pain control. In this paper, we present the rare complication of a severe gas gangrene infection caused by Clostridium perfringens that led to several amputations and ultimately death. We also discuss risks of temporary skeletal traction and techniques to overcome the morbidity of such a procedure.
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spelling doaj-art-331f0de4a82646ccaa8fb32e179b2fd02025-02-03T01:22:06ZengWileyCase Reports in Orthopedics2090-67492090-67572011-01-01201110.1155/2011/459812459812Gas Gangrene as a Result of Femoral Traction Pin PlacementBenjamin C. Taylor0Thomas J. Bramwell1Nathan Formaini2Department of Orthopaedic Surgery, Grant Medical Center, 285 East State Street, Suite 500, Columbus, OH 43215, USADepartment of Orthopaedic Surgery, Grant Medical Center, 285 East State Street, Suite 500, Columbus, OH 43215, USADepartment of Orthopaedic Surgery, Grant Medical Center, 285 East State Street, Suite 500, Columbus, OH 43215, USATreatment of adult femoral shaft fractures typically involves operative stabilization with intramedullary implants, external fixation, or a plate and screw construct. However, when stabilization is delayed for any reason, use of a traction pin is recommended to stabilize the fracture, prevent significant shortening, as well as to help with pain control. In this paper, we present the rare complication of a severe gas gangrene infection caused by Clostridium perfringens that led to several amputations and ultimately death. We also discuss risks of temporary skeletal traction and techniques to overcome the morbidity of such a procedure.http://dx.doi.org/10.1155/2011/459812
spellingShingle Benjamin C. Taylor
Thomas J. Bramwell
Nathan Formaini
Gas Gangrene as a Result of Femoral Traction Pin Placement
Case Reports in Orthopedics
title Gas Gangrene as a Result of Femoral Traction Pin Placement
title_full Gas Gangrene as a Result of Femoral Traction Pin Placement
title_fullStr Gas Gangrene as a Result of Femoral Traction Pin Placement
title_full_unstemmed Gas Gangrene as a Result of Femoral Traction Pin Placement
title_short Gas Gangrene as a Result of Femoral Traction Pin Placement
title_sort gas gangrene as a result of femoral traction pin placement
url http://dx.doi.org/10.1155/2011/459812
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AT thomasjbramwell gasgangreneasaresultoffemoraltractionpinplacement
AT nathanformaini gasgangreneasaresultoffemoraltractionpinplacement