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]

Details

Serval ID
serval:BIB_3095335B6BD1
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
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]
Journal
Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
Author(s)
Chevalley F., Livio J.J., Blanc C.H.
ISSN
0035-1040
Publication state
Published
Issued date
1990
Peer-reviewed
Oui
Volume
76
Number
4
Pages
280-3
Language
french
Notes
Publication types: Case Reports ; English Abstract ; Journal Article - Publication Status: ppublish
Abstract
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.
Keywords
Adult, Bony Callus, External Fixators, Femoral Fractures, Fractures, Open, Humans, Male, Osteomyelitis, Wound Healing
Pubmed
Web of science
Create date
24/01/2008 16:13
Last modification date
20/08/2019 14:15
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