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Successful megaprosthesis in a nearly amputated lower extremity after crush injury: A case report and literature review

Crush injury is one of the most challenging decisions for a surgeon to decide whether to proceed with an amputation or salvage a limb. We presented a 24-year-old man who complained of having suffered a crushed thigh 12 h before admission to the hospital. The patient was driving a truck and hit the i...

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Autores principales: Deviandri, Romy, Rifardi, Dhandia, Pratama, Kevin, Harahap, Dedi Rahmad, Alpharian, Gibran Tristan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577054/
https://www.ncbi.nlm.nih.gov/pubmed/37846227
http://dx.doi.org/10.1016/j.tcr.2023.100942
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author Deviandri, Romy
Rifardi, Dhandia
Pratama, Kevin
Harahap, Dedi Rahmad
Alpharian, Gibran Tristan
author_facet Deviandri, Romy
Rifardi, Dhandia
Pratama, Kevin
Harahap, Dedi Rahmad
Alpharian, Gibran Tristan
author_sort Deviandri, Romy
collection PubMed
description Crush injury is one of the most challenging decisions for a surgeon to decide whether to proceed with an amputation or salvage a limb. We presented a 24-year-old man who complained of having suffered a crushed thigh 12 h before admission to the hospital. The patient was driving a truck and hit the iron bridge barrier, which penetrated his left thigh. The patient's left foot was cold, pallid, and pulseless, with a MESS score of 11. The femur x-ray showed a displaced fracture of the left femur associated with a 15 cm bone defect. The patient was diagnosed with a crush injury on the left femur with vascular compromise. We performed a proximal femoral megaprosthesis for a crush injury on the lower extremity, After the sixth year's follow-up, it shows a good outcome and increased quality of life for this patient. In addition, there was an improvement in the Harris Hip Score and EQ5D score. Megaprosthesis used to treat a crush injury revealed good functional outcomes despite the MESS score of 11. A multi-professional approach to the patient is essential for decision-making regarding limb salvage rather than the use of a score.
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spelling pubmed-105770542023-10-16 Successful megaprosthesis in a nearly amputated lower extremity after crush injury: A case report and literature review Deviandri, Romy Rifardi, Dhandia Pratama, Kevin Harahap, Dedi Rahmad Alpharian, Gibran Tristan Trauma Case Rep Case Report Crush injury is one of the most challenging decisions for a surgeon to decide whether to proceed with an amputation or salvage a limb. We presented a 24-year-old man who complained of having suffered a crushed thigh 12 h before admission to the hospital. The patient was driving a truck and hit the iron bridge barrier, which penetrated his left thigh. The patient's left foot was cold, pallid, and pulseless, with a MESS score of 11. The femur x-ray showed a displaced fracture of the left femur associated with a 15 cm bone defect. The patient was diagnosed with a crush injury on the left femur with vascular compromise. We performed a proximal femoral megaprosthesis for a crush injury on the lower extremity, After the sixth year's follow-up, it shows a good outcome and increased quality of life for this patient. In addition, there was an improvement in the Harris Hip Score and EQ5D score. Megaprosthesis used to treat a crush injury revealed good functional outcomes despite the MESS score of 11. A multi-professional approach to the patient is essential for decision-making regarding limb salvage rather than the use of a score. Elsevier 2023-10-09 /pmc/articles/PMC10577054/ /pubmed/37846227 http://dx.doi.org/10.1016/j.tcr.2023.100942 Text en © 2023 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Deviandri, Romy
Rifardi, Dhandia
Pratama, Kevin
Harahap, Dedi Rahmad
Alpharian, Gibran Tristan
Successful megaprosthesis in a nearly amputated lower extremity after crush injury: A case report and literature review
title Successful megaprosthesis in a nearly amputated lower extremity after crush injury: A case report and literature review
title_full Successful megaprosthesis in a nearly amputated lower extremity after crush injury: A case report and literature review
title_fullStr Successful megaprosthesis in a nearly amputated lower extremity after crush injury: A case report and literature review
title_full_unstemmed Successful megaprosthesis in a nearly amputated lower extremity after crush injury: A case report and literature review
title_short Successful megaprosthesis in a nearly amputated lower extremity after crush injury: A case report and literature review
title_sort successful megaprosthesis in a nearly amputated lower extremity after crush injury: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577054/
https://www.ncbi.nlm.nih.gov/pubmed/37846227
http://dx.doi.org/10.1016/j.tcr.2023.100942
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