RESUMO
BACKGROUND: Open articular fractures are an important issue due to their increasing incidence, along with the rise in motorcycle accidents. Oncology experience with allograft in orthopedics may be extended to cases of traumatic bone loss. CLINICAL CASE: A 37-year-old man with an open fracture of the distal femur and proximal tibia presented a massive bone loss of the lateral femoral condyle after a motorcycle accident. Following Damage Control Surgery, a considerable lateral femoral condyle allograft was used to restore the joint anatomy. RESULTS: After an intensive rehabilitation program and two subsequent arthroscopic arthrolyses, the patient resumed walking without aids and recovered from stiffness (R.O.M. 0-130°). An MRI performed at median follow-up, revealed a favorable integration of the allograft. DISCUSSION: Allografts are a reasonable reconstructive option for young individuals with massive bone loss. An appropriately sized allograft is essential to restore an acceptable function as seen in the herein case.
Assuntos
Aloenxertos/transplante , Transplante Ósseo/métodos , Fraturas do Fêmur/cirurgia , Consolidação da Fratura/fisiologia , Fraturas Expostas/cirurgia , Fraturas Intra-Articulares/cirurgia , Procedimentos de Cirurgia Plástica , Acidentes de Trânsito , Adulto , Fixadores Externos , Fraturas do Fêmur/diagnóstico por imagem , Fraturas do Fêmur/patologia , Fraturas Expostas/diagnóstico por imagem , Fraturas Expostas/patologia , Humanos , Escala de Gravidade do Ferimento , Fraturas Intra-Articulares/diagnóstico por imagem , Fraturas Intra-Articulares/patologia , Masculino , Motocicletas , Radiografia , Amplitude de Movimento Articular , Recuperação de Função Fisiológica , Resultado do TratamentoAssuntos
Nervos Intercostais/diagnóstico por imagem , Neuralgia Pós-Herpética/diagnóstico , Neurilemoma/diagnóstico por imagem , Neoplasias do Sistema Nervoso Periférico/diagnóstico por imagem , Adulto , Erros de Diagnóstico , Herpes Zoster/complicações , Herpes Zoster/diagnóstico , Humanos , Nervos Intercostais/patologia , Masculino , UltrassonografiaRESUMO
A number of studies have described the osteoarticular involvement of tuberculosis, but very few cases of tubercular osteomyelitis of the foot have been reported. We describe a case of spina ventosa affecting the second metatarsal, with a review of the literature and description of the clinical manifestations, diagnostic images, and treatment of skeletal tuberculosis.