AI Article Synopsis
- A 58-year-old man sustained a Sanders type III calcaneus fracture from a fall, leading to the rare complication of a traumatic chylous effusion during surgery.
- To manage the concern of infection during the operation, provisional K-wire-assisted reduction was performed, followed by stabilization with antibiotic mixed polymethylmethacrylate cement instead of traditional fixation methods.
- The case demonstrates the effective use of antibiotic cement in treating intra-articular calcaneus fractures complicated by chylous effusion, resulting in an excellent patient outcome.
Article Abstract
Case: This is a rare case describing the management of a traumatic chylous effusion discovered during operative fixation of a Sanders type III calcaneus fracture in a 58-year-old man, sustained after a fall from height. Chylous effusions are uncommon and can mimic septic arthritis. Given the concern for possible infection intraoperatively, provisional K-wire-assisted reduction was performed and definitively maintained through antibiotic mixed polymethylmethacrylate cement. Despite foregoing traditional fixation techniques, an excellent outcome was achieved.
Conclusion: This case outlines the use of antibiotic cement as a reduction aid for an intra-articular calcaneus fracture in the setting of a traumatic chylous effusion.
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| http://dx.doi.org/10.2106/JBJS.CC.24.00026 | DOI Listing |
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