Ostéogénèse atypique après séquestrectomies multiples pour fracture ouverte infectée du fémur: un cas [Atypical osteogenesis following multiple sequestrectomies for infected open fracture of the femur: a case]

Détails

ID Serval
serval:BIB_3095335B6BD1
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Ostéogénèse atypique après séquestrectomies multiples pour fracture ouverte infectée du fémur: un cas [Atypical osteogenesis following multiple sequestrectomies for infected open fracture of the femur: a case]
Périodique
Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
Auteur(s)
Chevalley F., Livio J.J., Blanc C.H.
ISSN
0035-1040
Statut éditorial
Publié
Date de publication
1990
Peer-reviewed
Oui
Volume
76
Numéro
4
Pages
280-3
Langue
français
Notes
Publication types: Case Reports ; English Abstract ; Journal Article - Publication Status: ppublish
Résumé
The authors present the case of an open fracture of femur Cauchoix type II with an infection due to Escherichia coli, Clostridium perfringens, Enterococcus and Aspergillus fumigatus. After several sequestrectomies and five hyperbaric sessions, apyrexia was attained at the end of the third month, the femur having been stabilised with an external fixator. The 15 cm gap due to loss of bone substance, filled at each dressing with an antiseptic iodine based ointment, closed itself finishing as continuous bone five months after the accident, the granulation tissue having been recovered by thin skin grafts. A repeated fracture occurring forty-eight hours after the removal of the Hoffmann frame was treated by fitting an Ilizarov fixator arriving at consolidation in seven months. The authors examine different possibilities of accelerating osteogenesis and highlight the potential role of iodine ointment as inductive to osteogenesis stemming from a periosteal layer seemingly held in place.
Mots-clé
Adult, Bony Callus, External Fixators, Femoral Fractures, Fractures, Open, Humans, Male, Osteomyelitis, Wound Healing
Pubmed
Web of science
Création de la notice
24/01/2008 16:13
Dernière modification de la notice
20/08/2019 14:15
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