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1.
Sud Med Ekspert ; 64(2): 4-9, 2021.
Artigo em Russo | MEDLINE | ID: mdl-33739060

RESUMO

The paper presents the results of a comparative epidemiological study of thermal injury and fatal hypothermia based on the results of consolidated reports of the Bureau of Forensic Medicine of the Moscow Department of Health for 2017-2019. It was analyzed the archival material for three calendar years. It was used a continuous retrospective research method with an assessment of the general aggregate of the death incidence from thermal injury and hypothermia in Moscow in 2017-2019 by means of nonparametric statistical methods. Deaths from thermal injury and hypothermia are the most often accidents. The incidence of this type of death is characterized by ups and downs depending on the season. May, January and December are the most dangerous for burns. A similar pattern, with the exception of May, was noted for hypothermia. It was found that men aged 50-70 and women of 70-90 years old die most often. It was determined that most social characteristics (education, being married, etc.) alter the average age when deaths occur. The results obtained provide statistical justification for further more thorough study of thermal injury and hypothermia.


Assuntos
Queimaduras , Hipotermia , Idoso , Idoso de 80 Anos ou mais , Queimaduras/epidemiologia , Queimaduras/etiologia , Feminino , Medicina Legal , Humanos , Hipotermia/epidemiologia , Hipotermia/etiologia , Masculino , Moscou , Estudos Retrospectivos
2.
Mil Med ; 186(Suppl 1): 408-415, 2021 01 25.
Artigo em Inglês | MEDLINE | ID: mdl-33499509

RESUMO

INTRODUCTION: Millimeter wave directed energy in the frequency regime of 94-95 GHz has potential for use in numerous military applications including crowd control and area denial. Although proven to be very safe, millimeter wave energy has the potential, because of accidental over exposure, to produce significant injuries. Currently, the Dynamic Thermal Model (DTM), developed by Beason and colleagues, is used to calculate the temperature profile in skin undergoing (millimeter wave) heating, using an all-or-nothing threshold of injury. Risk of significant injury (RSI) is determined by product of the probability of an injury outcome on a region of the body times the probability of that the injury will occur. Thus, a threshold injury determination may over predict burn probability and fail safety requirements. This work augments the DTM, replacing the current threshold value of injury with a probabilistic risk of injury to better quantify the risk of significant injury. MATERIALS AND METHODS: In this study, continuous probabilistic dose-response models using logistic regression analysis have been developed to account for mild second-degree, deep second-degree, and third-degree burn injuries based on a historic experimental burn dataset. Statistical analysis methods such as Hosmer-Lemeshow statistics, McFadden's pseudo R2 and receiver operator characteristic were used to validate the models against an independent experimental burn dataset. RESULTS: Comparison of logistic models fit using damage coefficients from the literature showed that Mehta and Wong provided the best fits historic burn data, which was corroborated by the McFadden pseudo R2 statistic for mild second-degree, deep second-degree, and third-degree severity. CONCLUSION: The dose-response models developed in this study are shown to be an excellent predictor of burn injury for each severity. The DTM was repackaged with the probabilistic burn models to more accurately determine the risk of significant burn injury.


Assuntos
Queimaduras , Pele/lesões , Queimaduras/epidemiologia , Queimaduras/etiologia , Humanos , Modelos Logísticos , Modelos Estatísticos , Probabilidade
3.
BMJ Case Rep ; 14(1)2021 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-33509889

RESUMO

Electronic cigarettes (also known as e-cigarettes or electronic nicotine delivery systems) were invented in China in 2003 then introduced to the British market in 2007. They remain popular among the public and are deemed to be effective in reducing tobacco smoking (the UK being one of the first countries to embrace them in a harm reduction policy). However, reports in the media of e-cigarettes exploding are of concern, considering the potential functional and psychological impairment that lifelong disfigurement will cause, especially given their uptake among people of any age. We present a case of this rare, but dramatic, effect of e-cigarette use as a warning to the public.


Assuntos
Queimaduras/etiologia , Sistemas Eletrônicos de Liberação de Nicotina , Explosões , Fraturas Cominutivas/etiologia , Fraturas Maxilares/etiologia , Fraturas dos Dentes/etiologia , Fraturas Cominutivas/diagnóstico por imagem , Humanos , Imageamento Tridimensional , Masculino , Fraturas Maxilares/diagnóstico por imagem , Traumatismos Maxilofaciais/diagnóstico por imagem , Traumatismos Maxilofaciais/etiologia , Mucosa Bucal/lesões , Tomografia Computadorizada por Raios X , Fraturas dos Dentes/diagnóstico por imagem , Traumatismos Dentários/diagnóstico por imagem , Traumatismos Dentários/etiologia , Raiz Dentária/lesões , Adulto Jovem
4.
Am J Otolaryngol ; 42(1): 102826, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33220495

RESUMO

PURPOSE: The pulsed-electron avalanche knife (PEAK) PlasmaBlade TnA (Medtronic, n.d.) is a relatively new electrosurgical technology that is used widely in head and neck surgery (Medtronic Manuals, n.d.). This study aims to summarize device malfunctions, patient complications, and subsequent interventions related to PEAK PlasmaBlade TnA during tonsillectomy and adenoidectomy. MATERIALS AND METHODS: The US Food and Drug Administration's Manufacture and User Facility Device Experience database was queried for reports of PlasmaBlade TnA adverse events from June 6, 2009, to August 30, 2020. Data were extracted from reports pertaining to tonsillectomy with or without adenoidectomy. RESULTS: 128 reports were identified, from which 163 adverse events were extracted. Of these, 23 (14.6%) were related to patients, and 140 (85.4%) were related to device malfunction. The most frequently reported patient-related adverse event was a burn injury (17 [73.9%]). The most common device malfunctions were dislodgment of device component (39 [27.9%]), followed by tip ignition (32 [22.9%]), damaged tip or wire during operation (28 [20%]), and melted device (24 [17.1%]). CONCLUSIONS: PEAK PlasmaBlade TnA have demonstrated utility in tonsillectomy with or without adenoidectomy but are associated with adverse events. Interventions aimed at improving both physician and patient education may help reduce adverse events attributed to improper use. Further study is needed to clarify optimal approaches to education.


Assuntos
Adenoidectomia/instrumentação , Eletrocirurgia/instrumentação , Falha de Equipamento/estatística & dados numéricos , Complicações Intraoperatórias/epidemiologia , Complicações Intraoperatórias/etiologia , Medição de Risco , Instrumentos Cirúrgicos/efeitos adversos , Tonsilectomia/instrumentação , Adenoidectomia/efeitos adversos , Queimaduras/epidemiologia , Queimaduras/etiologia , Queimaduras/prevenção & controle , Eletrocirurgia/efeitos adversos , Feminino , Educação em Saúde , Hemorragia/epidemiologia , Hemorragia/etiologia , Humanos , Masculino , Segurança do Paciente , Tonsilectomia/efeitos adversos
6.
J Surg Res ; 257: 232-238, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32862050

RESUMO

BACKGROUND: The purpose of this study was to identify the pattern of injuries that relates to abuse and neglect in children with burn injuries. METHODS: The Nationwide Readmissions Database for 2010-2014 was queried for all patients aged less than 18 y admitted with burn injuries. The primary outcome was child maltreatment identified at the index admission. The secondary outcome was readmission for maltreatment. A subgroup analysis was performed on patients without a diagnosis of maltreatment during the index admission. Multivariable logistic regression was performed for each outcome. RESULTS: There were 57,939 admissions identified and 1960 (3.4%) involved maltreatment at the index admission. Maltreatment was associated with total body surface area burned >20% (odds ratio (OR) 2.79, P < 0.001) and burn of the lower limbs (OR 1.37, P < 0.001). Readmission for maltreatment was found in 120 (0.2%), and the strongest risk factor was maltreatment identified at the index admission (OR 5.11, P < 0.001). After excluding the patients with maltreatment identified at the index admission, 96 (0.17%) children were found to have a readmission for maltreatment that may have been present on the index admission and subsequently missed. The strongest risk factor was burn of the eye or ocular adnexa (OR 3.79, P = 0.001). CONCLUSIONS: This study demonstrates that a portion of admissions for burn injuries in children could involve maltreatment that was undiagnosed. Identifying these at-risk individuals is critical to prevention efforts.


Assuntos
Queimaduras/etiologia , Maus-Tratos Infantis/diagnóstico , Criança Hospitalizada/estatística & dados numéricos , Diagnóstico Ausente/estatística & dados numéricos , Adolescente , Queimaduras/terapia , Criança , Maus-Tratos Infantis/prevenção & controle , Maus-Tratos Infantis/estatística & dados numéricos , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Readmissão do Paciente/estatística & dados numéricos , Fatores de Risco , Estados Unidos
7.
Int J Mol Sci ; 21(24)2020 Dec 18.
Artigo em Inglês | MEDLINE | ID: mdl-33352826

RESUMO

Wound management remains a challenge worldwide, although there are several developed wound dressing materials for the management of acute and chronic wounds. The wound dressings that are currently used include hydrogels, films, wafers, nanofibers, foams, topical formulations, transdermal patches, sponges, and bandages. Hydrogels exhibit unique features which make them suitable wound dressings such as providing a moist environment for wound healing, exhibiting high moisture content, or creating a barrier against bacterial infections, and are suitable for the management of exuding and granulating wounds. Biopolymers have been utilized for their development due to their non-toxic, biodegradable, and biocompatible properties. Hydrogels have been prepared from biopolymers such as cellulose and chitosan by crosslinking with selected synthetic polymers resulting in improved mechanical, biological, and physicochemical properties. They were useful by accelerating wound re-epithelialization and also mimic skin structure, inducing skin regeneration. Loading antibacterial agents into them prevented bacterial invasion of wounds. This review article is focused on hydrogels formulated from two biopolymers-chitosan and cellulose-for improved wound management.


Assuntos
Celulose/química , Quitosana/química , Hidrogéis/química , Cicatrização , Animais , Biopolímeros/química , Queimaduras/etiologia , Queimaduras/terapia , Ensaios Clínicos como Assunto , Complicações do Diabetes , Humanos , Ferimentos e Lesões/etiologia , Ferimentos e Lesões/terapia
8.
BMJ Case Rep ; 13(12)2020 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-33370969

RESUMO

A 91-year-old Caucasian man on warfarin for atrial fibrillation presented in view of sudden-onset haemoptysis with fresh bleeding with clots immediately after having eaten a piping-hot traditional cheesecake (pastizz) and burning the soft-palate of his mouth. The haemoptysis had resolved by the time that the patient had arrived to hospital. On examination, a 2 cm by 2 cm dark red, solitary mass could be seen just anterior to the uvula. This was not causing any pain or discomfort to the patient. Blood results were mostly unremarkable except for a raised international normalised ratio (INR) of 3.53. The patient was administered 5 mg vitamin K orally in attempt to lower the INR level and warfarin was subsequently omitted for 7 days. He was also prescribed oral steroids on discharge. The lesion resolved in 7 days and warfarin was restarted then with no further consequences.


Assuntos
Anticoagulantes/efeitos adversos , Fibrilação Atrial/tratamento farmacológico , Queimaduras/diagnóstico , Hematoma/diagnóstico , Hemoptise/etiologia , Varfarina/efeitos adversos , Idoso de 80 Anos ou mais , Coagulação Sanguínea/efeitos dos fármacos , Queimaduras/etiologia , Alimentos/efeitos adversos , Hematoma/tratamento farmacológico , Hematoma/etiologia , Hemoptise/tratamento farmacológico , Temperatura Alta/efeitos adversos , Humanos , Coeficiente Internacional Normatizado , Masculino , Palato Mole/irrigação sanguínea , Palato Mole/lesões , Úvula/irrigação sanguínea , Úvula/lesões , Vitamina K/administração & dosagem
10.
Int J Nanomedicine ; 15: 5645-5659, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32848391

RESUMO

Introduction: Mesenchymal stem cells (MSCs) are a promising resource for tissue regeneration and repair. However, their clinical application is hindered by technical limitations related to MSC enrichment at the target sites. Methods: MSCs were labeled with magnetic Fe3O4 nanoparticles (NPs). We analyzed the effects of NP on cell proliferation, stem cell characteristics, and cytokine secretion. Furthermore, we induced NP-labeled MSC migration with an external magnetic field toward laser-induced skin wounds in rats and evaluated the associated anti-inflammatory effects. Results: Fe3O4 NP application did not adversely affect MSC characteristics. Moreover, Fe3O4 NP-labeled MSCs presented increased anti-inflammatory cytokine and chemokine production compared with unlabeled MSCs. Furthermore, MSCs accumulated at the injury site and magnetic targeting promoted NP-labeled MSC migration toward burn injury sites in vivo. On day 7 following MSC injection, reduced inflammation and promoted angiogenesis were observed in the magnetically targeted MSC group. In addition, anti-inflammatory factors were upregulated, whereas pro-inflammatory factors were downregulated within the magnetically targeted MSC group compared with those in the PBS group. Conclusion: This study demonstrates that magnetically targeted MSCs contribute to cell migration to the site of skin injury, improve anti-inflammatory effects and enhance angiogenesis compared with MSC injection alone. Therefore, magnetically targeted MSC therapy may be an effective treatment approach for epithelial tissue injuries.


Assuntos
Queimaduras/terapia , Lasers/efeitos adversos , Nanopartículas de Magnetita/química , Transplante de Células-Tronco Mesenquimais/métodos , Células-Tronco Mesenquimais/química , Animais , Queimaduras/etiologia , Queimaduras/patologia , Movimento Celular , Proliferação de Células , Citocinas/metabolismo , Campos Magnéticos , Nanopartículas de Magnetita/uso terapêutico , Masculino , Ratos Wistar , Pele/patologia , Cicatrização
11.
Epidemiol Psychiatr Sci ; 29: e146, 2020 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-32686635

RESUMO

AIMS: Attention-deficit/hyperactivity disorder (ADHD) is associated with a higher risk of burn injury than in the normal population. Nevertheless, the influence of methylphenidate (MPH) on the risk of burn injury remains unclear. This retrospective cohort study analysed the effect of MPH on the risk of burn injury in children with ADHD. METHOD: Data were from Taiwan's National Health Insurance Research Database (NHIRD). The sample comprised individuals younger than 18 years with a diagnosis of ADHD (n = 90 634) in Taiwan's NHIRD between January 1996 and December 2013. We examined the cumulative effect of MPH on burn injury risk using Cox proportional hazards models. We conducted a sensitivity analysis for immortal time bias using a time-dependent Cox model and within-patient comparisons using the self-controlled case series model. RESULTS: Children with ADHD taking MPH had a reduced risk of burn injury, with a cumulative duration of treatment dose-related effect, compared with those not taking MPH. Compared with children with ADHD not taking MPH, the adjusted hazard ratio for burn injury was 0.70 in children taking MPH for <90 days (95% confidence interval (CI) 0.64-0.77) and 0.43 in children taking MPH for ≥90 days (95% CI 0.40-0.47), with a 50.8% preventable fraction. The negative association of MPH was replicated in age-stratified analysis using time-dependent Cox regression and self-controlled case series models. CONCLUSION: This study showed that MPH treatment was associated with a lower risk of burn injury in a cumulative duration of treatment dose-related effect manner.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/tratamento farmacológico , Queimaduras/epidemiologia , Estimulantes do Sistema Nervoso Central/uso terapêutico , Metilfenidato/uso terapêutico , Adolescente , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Queimaduras/etiologia , Queimaduras/psicologia , Criança , Pré-Escolar , Feminino , Humanos , Incidência , Masculino , Metilfenidato/efeitos adversos , Avaliação de Resultados em Cuidados de Saúde , Modelos de Riscos Proporcionais , Estudos Retrospectivos , Risco , Taiwan/epidemiologia
13.
Praxis (Bern 1994) ; 109(4): 297-300, 2020.
Artigo em Alemão | MEDLINE | ID: mdl-32183653

RESUMO

Volcano in the Pocket: Danger Induced by Electronic Cigarettes Abstract. We report two cases of male patients with deep second-degree burns at the lower extremities after thermal runaway of lithium-ion-batteries, which were carried in their trouser pockets as spare batteries for their electronic cigarettes. Both patients were treated according to the official burns guidelines. Here we would like to focus on the fact that irrigation with water is not recommended as the initial treatment for chemical burns caused by lithium. Currently this is not mentioned in the official burns guidelines.


Assuntos
Queimaduras , Sistemas Eletrônicos de Liberação de Nicotina , Lesões dos Tecidos Moles , Queimaduras/etiologia , Fontes de Energia Elétrica , Humanos , Masculino
14.
Am J Emerg Med ; 38(6): 1199-1202, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32139205

RESUMO

Since its introduction on the market in 2007, the number of reports on injuries caused by the ignition or explosion of electronic nicotine delivery systems (ENDS) has increased significantly. Two male patients have been treated at our burn center, the for ENDS-related injuries. Their batteries came into contact with metal objects stored in their pants pockets, resulting in a short circuit and finally ignition. In both patients, the combined flame and chemical burn wounds were initially irrigated with water upon arrival at the emergency department, leading to increased levels of pain. In our burn center, the wounds were extensively cleansed which led to a subsequent drop in NRS-scores. Laser Doppler Imaging showed a clear indication for surgery as both patients suffered a partial-thickness burn, with one patient having a patch of full-thickness burn as well. We swiftly performed an enzymatic debridement in both patients, followed by conservative wound management. Although enzymatic debridement is not generally recommended in the treatment of chemical burns, we successfully made use of this treatment option. Different authors advocate the use of mineral oils to irrigate or cover alkali burns, as contact between the chemical compounds and water can set off an exothermic reaction, leading to further injury. We believe that a hypertonic rinsing solution could be recommended as well in an emergency setting and we want to stress the importance of rapid removal of the chemical compounds in suspected chemical burns as well as swift debridement.


Assuntos
Queimaduras/etiologia , Queimaduras/terapia , Desbridamento/normas , Sistemas Eletrônicos de Liberação de Nicotina , Desbridamento/métodos , Desbridamento/estatística & dados numéricos , Fontes de Energia Elétrica/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Cicatrização
15.
Cutis ; 105(1): 32-34, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32074144

RESUMO

Thermal burn injuries are common and are associated with physical and psychologic repercussions. For epileptic patients, the risk for environmental injuries is remarkably higher. We present 2 cases of thermal burn injuries following nocturnal seizures. Many epileptic patients are educated on ways to prevent injury; however, these safety precautions tend to focus primarily on daytime activities. We highlight the potential presentation and impacts of the thermal lesions. In addition, we offer suggestions for improvements in patient education and injury prevention.


Assuntos
Acidentes Domésticos , Queimaduras/etiologia , Epilepsia/complicações , Adulto , Feminino , Calefação , Humanos , Fatores de Risco , Convulsões/complicações , Fatores de Tempo
17.
Biomater Sci ; 8(6): 1622-1637, 2020 Mar 17.
Artigo em Inglês | MEDLINE | ID: mdl-31967622

RESUMO

The existence of diabetes and microbial infection in burn wounds makes the healing process more complex. Herein, we synthesize a collagen based hybrid scaffold incorporated with a silica-resorcinol composite and cross-linked with an oxidized fenugreek seed polysaccharide to stimulate scar-less healing in chronic wounds with type-I diabetes and microbial infection. The spectroscopic analyses of the hybrid scaffolds reveal the chemical and structural integrity of collagen. The hybrid scaffolds are shown to be appropriate for in vivo tissue regeneration through cytocompatibility and hemocompatibility studies. Scaffolds were applied to diabetic albino rats induced with chronically infected burn wounds with respective controls. Histological and immunohistochemical analyses of the granulation tissue collected from the hybrid scaffold treated animal groups showed improved angiogenesis, reepithelialization and TGF-ß3 expression, which eventually led to scar-less wound healing. The results confirm that the prepared hybrid collagen scaffold could be used for effective scar-less wound healing in chronic burn wounds.


Assuntos
Infecções Bacterianas/tratamento farmacológico , Queimaduras/tratamento farmacológico , Diabetes Mellitus Experimental/tratamento farmacológico , Diabetes Mellitus Tipo 1/tratamento farmacológico , Mananas/administração & dosagem , Trigonella/química , Animais , Queimaduras/etiologia , Queimaduras/microbiologia , Colágeno/química , Diabetes Mellitus Experimental/induzido quimicamente , Diabetes Mellitus Experimental/complicações , Diabetes Mellitus Tipo 1/induzido quimicamente , Diabetes Mellitus Tipo 1/complicações , Masculino , Mananas/química , Mananas/farmacologia , Microesferas , Extratos Vegetais/química , Ratos , Resorcinóis/química , Dióxido de Silício/química , Estreptozocina , Resultado do Tratamento
18.
N Z Vet J ; 68(2): 126-133, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31608795

RESUMO

Case history: Gradual onset of ocular opacity was observed in three gold-striped geckos (Woodworthia chrysosiretica), and five Pacific geckos (Dactylocnemis pacificus) held in two adjacent terrariums in a zoological institution located in the North Island of New Zealand. Ultraviolet light and heat had been provided for the previous 3-4 years by a fluorescent bulb, but in the last 4 weeks of winter a ceramic heat bulb had been added, situated 10 cm above the upper mesh of the cageClinical findings: All eight geckos presented with mostly bilateral lesions of varying severity confined to the central or upper quadrant of the spectacles. These lesions ranged from variable areas of opacity within the stroma of the spectacle to similarly distributed ulcers of the surface epithelium of both spectacles. The spectacle lesions in the Pacific geckos responded well to treatment with topical combined antimicrobial therapy, within 18-29 days. The gold-striped geckos suffered complications including dysecdysis, severe spectacle ulceration and perforation, mycotic spectaculitis, and widespread mycotic dermatitis resulting in death or leading to euthanasia.Pathological findings: In the three gold-striped geckos, there were extensive areas of deep ulceration and replacement of the spectacle with a thick serocellular crust containing large numbers of fungal elements. The affected areas of the stroma were expanded by large deposits of proteinaceous and mucinous material, pyknotic cellular debris and moderate numbers of heterophils and macrophages as well as infiltrating fungal hyphae.Diagnosis: Mycotic spectaculitis with ulceration and perforation, and disseminated mycotic dermatitis likely secondary to thermal burns.Clinical relevance: This is the first report of thermal burns of the spectacle in any reptile. There was species variation in the burn severity with gold-striped geckos showing more severe lesions, possibly due to a mix of behavioural and anatomical factors. The thermal burns to the spectacles in three cases were complicated by delayed healing, perforation, dysecdysis and severe mycotic infection.


Assuntos
Queimaduras/veterinária , Oftalmopatias/veterinária , Calefação/instrumentação , Abrigo para Animais , Lagartos , Animais , Animais de Zoológico , Anti-Infecciosos/administração & dosagem , Anti-Infecciosos/uso terapêutico , Anti-Inflamatórios não Esteroides/uso terapêutico , Bacitracina/administração & dosagem , Bacitracina/uso terapêutico , Queimaduras/etiologia , Combinação de Medicamentos , Oftalmopatias/etiologia , Oftalmopatias/patologia , Meloxicam/uso terapêutico , Neomicina/administração & dosagem , Neomicina/uso terapêutico , Polimixina B/administração & dosagem , Polimixina B/uso terapêutico , Raios Ultravioleta
19.
Knee Surg Sports Traumatol Arthrosc ; 28(5): 1595-1599, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-29564471

RESUMO

Reamed intramedullary (IM) screw fixation for proximal fifth metatarsal fractures is technically challenging with potentially devastating complications if basic principles are not followed. A case of an iatrogenic fourth-degree burn after elective reamed IM screw fixation of a proximal fifth metatarsal fracture in a high-level athlete is reported. The case was complicated by postoperative osteomyelitis with third-degree soft-tissue defect. This was successfully treated with staged autologous bone graft reconstruction, tendon reconstruction, and local bi-pedicle flap coverage. The patient returned to competitive-level sports, avoiding the need for fifth ray amputation. Critical points of the IM screw technique and definitive reconstruction are discussed. Bulk autograft reconstruction is a safe and effective alternative to ray amputation in segmental defects of the fifth metatarsal.Level of evidence V.


Assuntos
Transplante Ósseo , Queimaduras/cirurgia , Traumatismos do Pé/cirurgia , Fixação Intramedular de Fraturas/efeitos adversos , Fraturas Ósseas/cirurgia , Ossos do Metatarso/lesões , Adolescente , Basquetebol/lesões , Parafusos Ósseos , Queimaduras/etiologia , Traumatismos do Pé/etiologia , Fixação Intramedular de Fraturas/instrumentação , Humanos , Masculino , Ossos do Metatarso/cirurgia , Osteomielite/etiologia , Complicações Pós-Operatórias/cirurgia , Volta ao Esporte , Retalhos Cirúrgicos , Tendões/cirurgia , Transplante Autólogo
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