Back to Search
Start Over
Successful megaprosthesis in a nearly amputated lower extremity after crush injury: A case report and literature review.
- Source :
-
Trauma case reports [Trauma Case Rep] 2023 Oct 09; Vol. 48, pp. 100942. Date of Electronic Publication: 2023 Oct 09 (Print Publication: 2023). - Publication Year :
- 2023
-
Abstract
- Crush injury is one of the most challenging decisions for a surgeon to decide whether to proceed with an amputation or salvage a limb. We presented a 24-year-old man who complained of having suffered a crushed thigh 12 h before admission to the hospital. The patient was driving a truck and hit the iron bridge barrier, which penetrated his left thigh. The patient's left foot was cold, pallid, and pulseless, with a MESS score of 11. The femur x-ray showed a displaced fracture of the left femur associated with a 15 cm bone defect. The patient was diagnosed with a crush injury on the left femur with vascular compromise. We performed a proximal femoral megaprosthesis for a crush injury on the lower extremity, After the sixth year's follow-up, it shows a good outcome and increased quality of life for this patient. In addition, there was an improvement in the Harris Hip Score and EQ5D score. Megaprosthesis used to treat a crush injury revealed good functional outcomes despite the MESS score of 11. A multi-professional approach to the patient is essential for decision-making regarding limb salvage rather than the use of a score.<br />Competing Interests: The authors have no conflicts of interest to declare.<br /> (© 2023 The Authors.)
Details
- Language :
- English
- ISSN :
- 2352-6440
- Volume :
- 48
- Database :
- MEDLINE
- Journal :
- Trauma case reports
- Publication Type :
- Report
- Accession number :
- 37846227
- Full Text :
- https://doi.org/10.1016/j.tcr.2023.100942