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Acta Medica Medianae
Vol. 53, No 1, March, 2014

UDC 61
ISSN 0365-4478(Printed version)
ISSN 1821-2794(Online)


Correspondence to:

Ivan Golubović

Clinic of Orthopedics and Traumatology

Clinical Center Niš

Bul. Zorana Đinđića 48

18000 Niš


E-mail: golubowici@gmail.com

Case report        


UDC: 616.001.5:617.58:615.477.2






Ivan Golubović1, Predrag Stojiljković1, Zoran Golubović1, Stevica Jeremić1, Milan Radojković3,  Goran Stevanović3, Stevo Najman3, Dragan Mihailović3, Slađana Petrović2, Zoran Radovanović3, Sonja Stamenić1, Saša Stojanović1, Marija Trenkić Bozinovic3, Lazar Lazović2, Vladimir Živković1, Aleksandar Tasić2, Miroslav Trajanović4


Clinic of Orthopedics and Traumatology, Clinical Center Niš, Serbia1

Institute of Radiology, Clinical Center Niš,  Serbia2 

Faculty of Medicine in Niš, Serbia 3

Faculty of Mechanical Engineering in Niš, Serbia4


We present a 71-year old patient admitted to Plastic and Reconstructive Surgery Clinic, Clinical Center Niš for the right leg conquasation. The patient was injured accidentally by a petrol tiller. On admission, both thigh and lower leg conquasation was observed with large wound on anteromedial thigh and one on medial side of the lower leg. Soft tissue and bones were covered with dirt and pieces of clothing. The wounds were thoroughly rinsed and dirt was removed followed by detailed debridement. After primary surgical treatment of the wound, open proximal lower leg fracture was stabilized with external skeletal fixation using two nails in the proximal and two nails in the distal fragment. Soft tissue defect was treated by plastic surgeon. The patient was administered anti-tetanus protection, antibiotic treatment and anticoagulant prophylaxis of deep vein thrombosis and pulmonary thromboembolism. Physical therapy was initiated subsequent to successful healing of the soft tissue wounds. External skeletal fixation was removed after three months for infection around the proximal nails and the treatment was contuinued using functional Sarmiento’s plaster imobilization leading to full recovery of open lower leg fracture. Acta Medica Medianae 2014;53(1):34-41.


Key words: leg conquasation, petrol tiller, open lower leg fracture, primary surgical treatment, external skeletal fixation