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Management of floating arm: a case report
The floating arm is a rare fracture, and so far there have been few cases reported. The treatment of this type of fracture is challenging and depends on several factors including age, underlying conditions, daily level of activity, fracture pattern, surgeon’s experience, and availability of devices....
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289731/ https://www.ncbi.nlm.nih.gov/pubmed/37363461 http://dx.doi.org/10.1097/MS9.0000000000000541 |
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author | Biglari, Farsad Zameni, Nadia Sabaghzadeh, Amir Tadayon, Niki Kafiabadi, Meisam J. |
author_facet | Biglari, Farsad Zameni, Nadia Sabaghzadeh, Amir Tadayon, Niki Kafiabadi, Meisam J. |
author_sort | Biglari, Farsad |
collection | PubMed |
description | The floating arm is a rare fracture, and so far there have been few cases reported. The treatment of this type of fracture is challenging and depends on several factors including age, underlying conditions, daily level of activity, fracture pattern, surgeon’s experience, and availability of devices. CASE PRESENTATION: This study report a 59-year-old man with a rare humeral fracture and a severe crush injury of the forearm. There is a paucity of evidence regarding the management of concomitant floating arm and soft tissue injuries in the literature. The patient was managed by minimally invasive plate osteosynthesis (MIPO) and vacuum-assisted closure (VAC) followed by a split-thickness skin graft. CLINICAL DISCUSSION: The concurrent presence of the two pathologies exacerbated the patient’s condition and made the management challenging. In this case, the authors have used the MIPO approach to fix both fractures with minimal soft tissue injury. To manage the prominent soft tissue injury, we applied the VAC device. VAC has the advantages of reducing edema, controlling bacterial growth, and promoting granulation tissue formation, leading to faster cellular turnover and healing. CONCLUSIONS: In patients with floating arm, especially with concomitant soft tissue damage, the MIPO approach is a safe, minimally invasive, and quick method with minimal bleeding. |
format | Online Article Text |
id | pubmed-10289731 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-102897312023-06-24 Management of floating arm: a case report Biglari, Farsad Zameni, Nadia Sabaghzadeh, Amir Tadayon, Niki Kafiabadi, Meisam J. Ann Med Surg (Lond) Case Reports The floating arm is a rare fracture, and so far there have been few cases reported. The treatment of this type of fracture is challenging and depends on several factors including age, underlying conditions, daily level of activity, fracture pattern, surgeon’s experience, and availability of devices. CASE PRESENTATION: This study report a 59-year-old man with a rare humeral fracture and a severe crush injury of the forearm. There is a paucity of evidence regarding the management of concomitant floating arm and soft tissue injuries in the literature. The patient was managed by minimally invasive plate osteosynthesis (MIPO) and vacuum-assisted closure (VAC) followed by a split-thickness skin graft. CLINICAL DISCUSSION: The concurrent presence of the two pathologies exacerbated the patient’s condition and made the management challenging. In this case, the authors have used the MIPO approach to fix both fractures with minimal soft tissue injury. To manage the prominent soft tissue injury, we applied the VAC device. VAC has the advantages of reducing edema, controlling bacterial growth, and promoting granulation tissue formation, leading to faster cellular turnover and healing. CONCLUSIONS: In patients with floating arm, especially with concomitant soft tissue damage, the MIPO approach is a safe, minimally invasive, and quick method with minimal bleeding. Lippincott Williams & Wilkins 2023-04-21 /pmc/articles/PMC10289731/ /pubmed/37363461 http://dx.doi.org/10.1097/MS9.0000000000000541 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Case Reports Biglari, Farsad Zameni, Nadia Sabaghzadeh, Amir Tadayon, Niki Kafiabadi, Meisam J. Management of floating arm: a case report |
title | Management of floating arm: a case report |
title_full | Management of floating arm: a case report |
title_fullStr | Management of floating arm: a case report |
title_full_unstemmed | Management of floating arm: a case report |
title_short | Management of floating arm: a case report |
title_sort | management of floating arm: a case report |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289731/ https://www.ncbi.nlm.nih.gov/pubmed/37363461 http://dx.doi.org/10.1097/MS9.0000000000000541 |
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