Intra-articular Calcaneal Fracture Fixation Complicated by a Traumatic Chylous Effusion: A Case Report.
| Autor: | Murray B; Naval Aerospace Medical Institute, Pensacola, Florida., Serhan KA; Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia., Deafenbaugh BK; Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia., Manson HC; Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia. |
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| Jazyk: | angličtina |
| Zdroj: | JBJS case connector [JBJS Case Connect] 2024 Oct 18; Vol. 14 (4). Date of Electronic Publication: 2024 Oct 18 (Print Publication: 2024). |
| DOI: | e24.00026 |
| Abstrakt: | Case: This is a rare case describing the management of a traumatic chylous effusion discovered during operative fixation of a Sanders type III calcaneus fracture in a 58-year-old man, sustained after a fall from height. Chylous effusions are uncommon and can mimic septic arthritis. Given the concern for possible infection intraoperatively, provisional K-wire-assisted reduction was performed and definitively maintained through antibiotic mixed polymethylmethacrylate cement. Despite foregoing traditional fixation techniques, an excellent outcome was achieved. Conclusion: This case outlines the use of antibiotic cement as a reduction aid for an intra-articular calcaneus fracture in the setting of a traumatic chylous effusion. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C460). (Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.) |
| Databáze: | MEDLINE |
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