RESUMEN
Diabetic patients, and especially elderly patients in a low-nutritional or immunocompromised state, are prone to a variety of opportunistic infections. 'Myiasis' is a term that refers to non-iatrogenic infestation of tissues by larvae, commonly known as maggots, of dipterous flies. Myiasis as a complication of fracture treatment by means of external fixation of long bones has not been reported. We present three diabetic patients, who suffered maggot infestation of their external fixation pin holes, and their outcome. Diabetes, immobilization, poor hygiene and low immune status are predisposing factors for developing myiasis, an extremely rare complication for external fixation of fractures.
Asunto(s)
Diabetes Mellitus , Fijadores Externos/parasitología , Fijación de Fractura/efectos adversos , Miasis/parasitología , Infección de la Herida Quirúrgica/parasitología , Anciano , Anciano de 80 o más Años , Animales , Dípteros , Femenino , Humanos , Larva , Masculino , Miasis/terapia , Factores de Riesgo , Infección de la Herida Quirúrgica/terapiaRESUMEN
Isolated dislocation of the distal radio-ulnar joint and isolated dislocation of the radial head in adults are not common injuries. A simultaneous dislocation of the radial head and distal radio-ulnar joint with no other injury seems to be extremely rare since only one report was found in the English literature. A similar case, but with some differences in presentation and treatment is reported.
Asunto(s)
Lesiones de Codo , Luxaciones Articulares/patología , Radio (Anatomía)/lesiones , Cúbito/lesiones , Articulación del Codo/diagnóstico por imagen , Traumatismos del Antebrazo/patología , Traumatismos del Antebrazo/cirugía , Humanos , Luxaciones Articulares/cirugía , Masculino , Persona de Mediana Edad , Radiografía , Radio (Anatomía)/diagnóstico por imagen , Cúbito/diagnóstico por imagen , Traumatismos de la Muñeca/patología , Traumatismos de la Muñeca/cirugíaRESUMEN
There is still a controversy in literature regarding the treatment of subcapital fractures of the hip with internal fixation. Different methods have been tested and studies such as in cadavers mainly prejudge the three cannulated screws application. We present a series of 20 patients in which percutaneous fixation with two parallel cannulated screws under specific technical conditions has led to an uneventful fracture union. No complications were observed at a one year follow-up. Reviewing the literature we found no previous clinical studies on the subject.