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

Serbia

E-mail: golubowici@gmail.com

Case report        

UDC: 616.001.5:617.58:615.477.2

doi:10.5633/amm.2014.0107

LEG CONQUASATION CAUSED BY PETROL TILLER WITH OPEN LOWER LEG FRACTURE

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