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Subcutaneous emphysema of the leg after hardware removal and bone allografting for infected non-union of the distal femur.
- Source :
-
BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2017 Aug 15; Vol. 18 (1), pp. 351. Date of Electronic Publication: 2017 Aug 15. - Publication Year :
- 2017
-
Abstract
- Background: Infected non-unions of the supracondylar region of the femur are uncommon. Even though hardware removal is a common procedure, it may lead to complications, including neurovascular injury, refracture, worsening pain or recurrence of deformity.<br />Case Presentation: We report on a male who developed subcutaneous emphysema of the leg after hardware removal and bone allografting for an infected non-union of the distal femur. He was managed by debridement of the surgical wound, antibiotic therapy, multiple fasciotomies, and application of a VAC (vacuum-assisted closure) system.<br />Conclusions: Although subcutaneous emphysema of the leg after hardware removal and bone allografting for infected non-union of the distal femur is extremely rare, the potential life treating complications and their potential impact on the functional status of the patient have to be taken into consideration when counseling patients about this procedure. Even when it is not possible to identify a bacterial pathogen responsible for the subcutaneous emphysema of the leg, prompt intervention may save the limb of the patient.
- Subjects :
- Bone Transplantation trends
Device Removal trends
Femoral Fractures surgery
Femur
Fracture Fixation, Internal trends
Humans
Male
Middle Aged
Postoperative Complications etiology
Subcutaneous Emphysema etiology
Bone Transplantation adverse effects
Device Removal adverse effects
Femoral Fractures diagnostic imaging
Fracture Fixation, Internal adverse effects
Postoperative Complications diagnostic imaging
Subcutaneous Emphysema diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2474
- Volume :
- 18
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC musculoskeletal disorders
- Publication Type :
- Academic Journal
- Accession number :
- 28810893
- Full Text :
- https://doi.org/10.1186/s12891-017-1706-y