Salter Harris Fractures of the Distal Femur

Autor: Sean M. McKenna, Steven W. Hamilton, Simon L. Barker
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Journal of Investigative Medicine High Impact Case Reports, Vol 1 (2013)
Druh dokumentu: article
ISSN: 2324-7096
23247096
DOI: 10.1177/2324709613500238
Popis: Salter Harris–type injuries of the distal femur should be treated as a dislocation of the knee and therefore as a medical emergency. Senior medical staff should be involved early, ankle–brachial index ratio should be measured in all patients and the clinician should have a high index of suspicion for a vascular injury. Ideally reduction, stabilization, and vascular repair, if necessary, should be carried out within 6 hours of the initial event. There should be a low threshold for fasciotomies. These 2 cases demonstrate the importance of having a high index of suspicion for vascular injury and the need for continued reassessment.
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