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A Rare Case of Distal Femur Physeal Fracture Dislocation with Positional Vascular Compromise in an Adolescent Male

INTRODUCTION: Physeal fractures are a rare entity to occur around the knee. However, they may prove to be dangerous when encountered due to their proximity to the popliteal artery and associated risk of premature physeal closure. A distal femur displaced, SH type I, physeal fracture is very uncommon...

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Autores principales: Ambulgekar, Rajesh Kishanrao, Chhabda, Gurneet Kaur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983380/
https://www.ncbi.nlm.nih.gov/pubmed/36874899
http://dx.doi.org/10.13107/jocr.2022.v12.i10.3386
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author Ambulgekar, Rajesh Kishanrao
Chhabda, Gurneet Kaur
author_facet Ambulgekar, Rajesh Kishanrao
Chhabda, Gurneet Kaur
author_sort Ambulgekar, Rajesh Kishanrao
collection PubMed
description INTRODUCTION: Physeal fractures are a rare entity to occur around the knee. However, they may prove to be dangerous when encountered due to their proximity to the popliteal artery and associated risk of premature physeal closure. A distal femur displaced, SH type I, physeal fracture is very uncommon and is most likely caused by high velocity trauma. CASE REPORT: Here is a case of right sided distal femur physeal fracture dislocation in a 15-year-old boy having positional vascular compromise (popliteal vessel involvement) as a result of the fracture displacement. He was immediately planned for open reduction and fixation using multiple K wires due to limb threatening condition. We focus on the potential immediate and remote complications, the treatment modality and the functional outcome of the fracture. CONCLUSION: Due to the potential risk of immediate limb-threatening complication due to vascular compromise, this kind of injury needs emergency fixation. Furthermore, long-term complications like growth disturbances have to be considered and prevented by early definitive treatment.
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spelling pubmed-99833802023-03-04 A Rare Case of Distal Femur Physeal Fracture Dislocation with Positional Vascular Compromise in an Adolescent Male Ambulgekar, Rajesh Kishanrao Chhabda, Gurneet Kaur J Orthop Case Rep Case Report INTRODUCTION: Physeal fractures are a rare entity to occur around the knee. However, they may prove to be dangerous when encountered due to their proximity to the popliteal artery and associated risk of premature physeal closure. A distal femur displaced, SH type I, physeal fracture is very uncommon and is most likely caused by high velocity trauma. CASE REPORT: Here is a case of right sided distal femur physeal fracture dislocation in a 15-year-old boy having positional vascular compromise (popliteal vessel involvement) as a result of the fracture displacement. He was immediately planned for open reduction and fixation using multiple K wires due to limb threatening condition. We focus on the potential immediate and remote complications, the treatment modality and the functional outcome of the fracture. CONCLUSION: Due to the potential risk of immediate limb-threatening complication due to vascular compromise, this kind of injury needs emergency fixation. Furthermore, long-term complications like growth disturbances have to be considered and prevented by early definitive treatment. Indian Orthopaedic Research Group 2022-10 2022-10 /pmc/articles/PMC9983380/ /pubmed/36874899 http://dx.doi.org/10.13107/jocr.2022.v12.i10.3386 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ambulgekar, Rajesh Kishanrao
Chhabda, Gurneet Kaur
A Rare Case of Distal Femur Physeal Fracture Dislocation with Positional Vascular Compromise in an Adolescent Male
title A Rare Case of Distal Femur Physeal Fracture Dislocation with Positional Vascular Compromise in an Adolescent Male
title_full A Rare Case of Distal Femur Physeal Fracture Dislocation with Positional Vascular Compromise in an Adolescent Male
title_fullStr A Rare Case of Distal Femur Physeal Fracture Dislocation with Positional Vascular Compromise in an Adolescent Male
title_full_unstemmed A Rare Case of Distal Femur Physeal Fracture Dislocation with Positional Vascular Compromise in an Adolescent Male
title_short A Rare Case of Distal Femur Physeal Fracture Dislocation with Positional Vascular Compromise in an Adolescent Male
title_sort rare case of distal femur physeal fracture dislocation with positional vascular compromise in an adolescent male
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983380/
https://www.ncbi.nlm.nih.gov/pubmed/36874899
http://dx.doi.org/10.13107/jocr.2022.v12.i10.3386
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