Open femorotibial dislocation with fracture of the patella and tibia
Introduction: Knee dislocations are infrequent, which makes the combination with open fractures of the patella and the upper third of the tibia, rare and serious. It is an entity caused by high-energy trauma and is associated with other injuries. Objective: To present a rare and complex case of open...
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2021
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oai:doaj.org-article:9583184af082420da5cbfd25e51fd9a92021-11-30T13:31:08ZOpen femorotibial dislocation with fracture of the patella and tibia1561-3046https://doaj.org/article/9583184af082420da5cbfd25e51fd9a92021-10-01T00:00:00Zhttp://www.revmedmilitar.sld.cu/index.php/mil/article/view/1372https://doaj.org/toc/1561-3046Introduction: Knee dislocations are infrequent, which makes the combination with open fractures of the patella and the upper third of the tibia, rare and serious. It is an entity caused by high-energy trauma and is associated with other injuries. Objective: To present a rare and complex case of open posterior femorotibial dislocation with fracture of the lower pole of the patella and the upper third of the tibia. Clinical case: A 37-year-old male patient, who was admitted to the orthopedic and trauma service, who, as a consequence of a traffic accident, presented posterior femorotibial dislocation with an open fracture of the lower pole of the patella and upper third of the tibia. grades III-B, in the lower right. He underwent emergency surgery; extensive surgical debridement, dislocation reduction, primary repair of ligamentous injuries, partial patellectomy, patellar tendon repair, and external fixation were performed for the fracture of the upper third of the tibia. The patient evolved well, without infection of the surgical wound and full recovery at 4 months. Conclusions: The combination of open posterior femorotibial dislocation, with fracture of the lower pole of the patella and upper third of the tibia is rare and is due to high traumatic energies, such as motor vehicle accidents. Emergency surgery and antimicrobial prophylaxis is the effective method for the definitive treatment of this lesion.José Luis Nápoles MenganaAdonis Alberto Lagar ÁvilaLeonardo Ramos HechavarríaECIMEDarticleluxación femorotibialfractura de rótulafractura de tibia.MedicineRMedicine (General)R5-920ESRevista Cubana de Medicina Militar, Vol 50, Iss 4, Pp e02101372-e02101372 (2021) |
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DOAJ |
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ES |
| topic |
luxación femorotibial fractura de rótula fractura de tibia. Medicine R Medicine (General) R5-920 |
| spellingShingle |
luxación femorotibial fractura de rótula fractura de tibia. Medicine R Medicine (General) R5-920 José Luis Nápoles Mengana Adonis Alberto Lagar Ávila Leonardo Ramos Hechavarría Open femorotibial dislocation with fracture of the patella and tibia |
| description |
Introduction: Knee dislocations are infrequent, which makes the combination with open fractures of the patella and the upper third of the tibia, rare and serious. It is an entity caused by high-energy trauma and is associated with other injuries.
Objective: To present a rare and complex case of open posterior femorotibial dislocation with fracture of the lower pole of the patella and the upper third of the tibia.
Clinical case: A 37-year-old male patient, who was admitted to the orthopedic and trauma service, who, as a consequence of a traffic accident, presented posterior femorotibial dislocation with an open fracture of the lower pole of the patella and upper third of the tibia. grades III-B, in the lower right. He underwent emergency surgery; extensive surgical debridement, dislocation reduction, primary repair of ligamentous injuries, partial patellectomy, patellar tendon repair, and external fixation were performed for the fracture of the upper third of the tibia. The patient evolved well, without infection of the surgical wound and full recovery at 4 months.
Conclusions: The combination of open posterior femorotibial dislocation, with fracture of the lower pole of the patella and upper third of the tibia is rare and is due to high traumatic energies, such as motor vehicle accidents. Emergency surgery and antimicrobial prophylaxis is the effective method for the definitive treatment of this lesion. |
| format |
article |
| author |
José Luis Nápoles Mengana Adonis Alberto Lagar Ávila Leonardo Ramos Hechavarría |
| author_facet |
José Luis Nápoles Mengana Adonis Alberto Lagar Ávila Leonardo Ramos Hechavarría |
| author_sort |
José Luis Nápoles Mengana |
| title |
Open femorotibial dislocation with fracture of the patella and tibia |
| title_short |
Open femorotibial dislocation with fracture of the patella and tibia |
| title_full |
Open femorotibial dislocation with fracture of the patella and tibia |
| title_fullStr |
Open femorotibial dislocation with fracture of the patella and tibia |
| title_full_unstemmed |
Open femorotibial dislocation with fracture of the patella and tibia |
| title_sort |
open femorotibial dislocation with fracture of the patella and tibia |
| publisher |
ECIMED |
| publishDate |
2021 |
| url |
https://doaj.org/article/9583184af082420da5cbfd25e51fd9a9 |
| work_keys_str_mv |
AT joseluisnapolesmengana openfemorotibialdislocationwithfractureofthepatellaandtibia AT adonisalbertolagaravila openfemorotibialdislocationwithfractureofthepatellaandtibia AT leonardoramoshechavarria openfemorotibialdislocationwithfractureofthepatellaandtibia |
| _version_ |
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