A staged approach to managing a combination of a terrible triad injury and an Essex-Lopresti fracture dislocation: an open forearm crush injury-a case report.

Background: Open and crushed forearm injury is a complex and rare injury affecting the upper extremity. It results in damage to various structures, including bones, soft tissues, and neurovascular bundles, ultimately leading to functional impairment. Typically, these injuries occur owing to high-energy trauma.

Early Postoperative Weight Bearing Following the Reconstruction of Traumatic Complex Tibial Bone Defects by Vascularized Free Fibula and Ilizarov External Fixator: A Case Series.

Objective: Post-traumatic tibial bone defects represent a significant challenge to orthopedic surgeons. Various reconstructive methods are available based on associated local soft tissue injury and defect size. Free vascularized fibular graft represents a major successful technique; combined with a rigid Ilizarov external fixator, it allows safe, immediate postoperative weight bearing.

Salvage of Circumferential Multiplane Degloving Injury of Hand with Single Viable Finger - Case Report.

Introduction: Circumferential multiplanar degloving injuries of hand and wrist are devastating injuries which can severely compromise what is salvageable for achieving a functional hand, ending in amputations if not well managed.

Case Report: We described a complete multiplanar degloving injury of hand in a 27-year-old Asian male due to a compressing machine, which was successfully salvaged with a complete free latissimus dorsi flap cover with skin graft for coverage.

Conclusion: An unconventional one-stage surgical option for soft-tissue coverage using a complete latissimus dorsi free flap ending in a reasonably functional two-fingered hand.

Alternative to Vein Grafts for Arterial Repair in Avulsion Amputations of Thumb: Case Series.

The first reimplantation of a complete thumb amputation using microvascular anastomosis in a human was successfully conducted by Komatsu in 1968. Avulsion amputations of the thumb at the level of metacarpophalangeal joints pose a tedious task for direct arterial repair, even with adequate bone shortening. Owing to the short length of princeps pollicis from the deep arch, tight working space in the first web under microscope, and the associated intimal injuries, we advise transposing the radial indices artery in such cases which gives adequate length and noninjured artery for a tension-free repair.

Intramedullary Percutaneous Fixation of Extra-Articular Proximal and Middle Phalanx Fractures.

Multiple methods have been described for treating unstable proximal and middle phalangeal fractures. Irrespective of using an open or closed technique of fixation, stiffness and extensor lag at the proximal/distal interphalangeal joint almost always occur. This issue can be avoided by allowing the patients to mobilize the fingers out of plaster or splint as early as possible from the day of surgery.

Reassessment of osteoporosis-related femoral fractures and economic burden in Saudi Arabia.

Unlabelled: The current study reassesses the prevalence of fragility fractures and lifetime costs in the Eastern Province of Saudi Arabia. Forty-two percent (391) of the fractures were at the neck of the femur, and 38.6 % (354) were inter-trochanteric fractures.