Mangled upper extremity. Case report.

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Published: Feb 20, 2019
DOI: https://doi.org/10.15417/issn.1852-7434.2019.84.1.806
Keywords:
Extremity, mangling, external fixator, tendon transfers

Main Article Content

Francisco Javier Sánchez Villanueva
Hospital Base Valdivia
http://orcid.org/0000-0002-5868-5001
Pablo Suárez Villalobos
Hospital Base Valdivia
http://orcid.org/0000-0002-3554-3799
Luis Grau Núñez
Hospital Base Valdivia. Equipo mano y muñeca. Jefe de Servicio. Clinica Alemana Valdivia
Matías Sepúlveda Oviedo
Hospital Base Valdivia. Equipo infantil y Reconstruccion. Clinica Alemana Valdivia
http://orcid.org/0000-0002-6792-6145

Abstract

We present a patient with a severely injured upper extremity due to a shotgun. Patient was initially managed with multiple surgical debridements and an AO external fixator. Final treatment was performed with a monolateral external fixator, in addition to an iliac crest structural bone graft. During initial management, a radial nerve injury was observed; the nerve was intact, though devitalized. Given the scarring process and soft tissue infection, treatment was performed in the acute phase. Subsequently, tendon transfers were made to treat a radial nerve injury. Patient evolved favorably and regained adequate function of the upper extremity.This case is presented due to its complex management due to bone, neurovascular, skin, and soft tissue involvement.

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How to Cite
Sánchez Villanueva, F. J., Suárez Villalobos, P., Grau Núñez, L., & Sepúlveda Oviedo, M. (2019). Mangled upper extremity. Case report. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 84(1), 63-69. https://doi.org/10.15417/issn.1852-7434.2019.84.1.806
Issue
Vol 84 No 1 (2019)
Section
Case Presentations
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Author Biographies

Francisco Javier Sánchez Villanueva, Hospital Base Valdivia

Medico cirujano Universidad de ChileResidente de 3º año de Ortopedia y Traumatologia en Hospital Base de Valdivia.Magister en Medicina y Ciencias del Deporte

Pablo Suárez Villalobos, Hospital Base Valdivia

Residente Ortopedia y Traumatologia

Luis Grau Núñez, Hospital Base Valdivia. Equipo mano y muñeca. Jefe de Servicio. Clinica Alemana Valdivia

Jefe de servicio Ortopedia y Traumatologia. Hospital Base Valdivia. Equipo de mano.

Matías Sepúlveda Oviedo, Hospital Base Valdivia. Equipo infantil y Reconstruccion. Clinica Alemana Valdivia

Hospital Base Valdivia. Equipo infantil y Reconstruccion.Clinica Alemana Valdivia

References

1. Bumbasirevic M, Stevanovic M, Lesic A, Atkinson HDE. Current management of the mangled upper extremity. Int Orthop 2012;36:2189-95. DOI: 10.1007/s00264-012-1638-y

2. Paryavi E, Pensy R, Higgins T, Chia B, Eglseder W. Salvage of upper extremities with humeral fracture and associated brachial artery injury. Injury 2014;45:1870-5.
DOI: 10.1016/j.injury.2014.08.038

3. Prasarn ML, Helfet DL, Kloen P. Management of the mangled extremity. Strategies Trauma Limb Reconstr 2012;7:57-66.
DOI: 10.1007/s11751-012-0137-4

4. Bumbaširevic M, Lešic A, Mitkovic M, Bumbaširevic V. Treatment of blast injuries of the extremity. J Am Acad Orthop Surg 2006;14:S77-81. https://journals.lww.com/jaaos/Fulltext/2006/00001/Treatment_of_Blast_Injuries_of_the_Extremity.18.aspx

5. Carroll E, Schweppe M, Langfitt M, Miller AN, Halvorson J. Management of humeral shaft fractures. J Am Acad Orthop Surg 2012;20:423-33. DOI: 10.5435/JAAOS-20-07-423

6. Vaidya R, Sethi A, Oliphant BW, Gibson V, Sethi S, Meehan R. Civilian gunshot injuries of the humerus. Orthopedics 2014;37:e307-12. DOI: 10.3928/01477447-20140225-66

7. Zhang J, Ebraheim N, Lause GE. Surgical treatment of proximal humeral fracture with external fixator. J Shoulder Elbow Surg 2012;21:882-6. DOI: 10.1016/j.jse.2011.07.005

8. Bercik M, Kingsbery J, Ilyas A. Peripheral nerve injuries following gunshot fracture of the humerus. Orthopedics 2012;35:e349-52. DOI: 10.3928/01477447-20120222-18

9. Seiler J, Desai M, Payne S. Tendon transfers for radial, median, and ulnar nerve palsy. J Am Acad Orthop Surg 2013;21:675-84. DOI: 10.5435/JAAOS-21-11-675

10. Niver G, Ilyas A. Management of radial nerve palsy following fractures of the humerus. Orthop Clin North Am 2013;44:419-24. DOI: 10.1016/j.ocl.2013.03.012