Early Post-Traumatic Van Nes Rotationplasty After an Open Femur Fracture With a Necrotizing Soft-Tissue Infection : A Case Report
Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated..
CASE: A 26-year-old man presented after an automobile versus pedestrian accident with a Type IIIA open femur fracture complicated by a necrotizing soft-tissue infection (NSTI) with significant bone loss. Multiple limb-preserving operations failed, including the placement of a plate-assisted, motorized lengthening intramedullary nail with a chimeric free flap. We describe the patient's successful definitive treatment with a Van Nes rotationplasty (VNR). The patient currently ambulates independently with a prosthesis and is without recurrent infection after 3 years of follow-up.
CONCLUSION: VNR is a potential strategy to avoid transfemoral amputation or hip disarticulation in open femur fractures complicated by NSTI.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:11 |
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| Enthalten in: |
JBJS case connector - 11(2021), 4 vom: 04. Nov. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Tye, Erik Y [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 04.04.2022 Date Revised 18.07.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
e21.00470 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM332734854 |
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| 520 | |a Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated. | ||
| 520 | |a CASE: A 26-year-old man presented after an automobile versus pedestrian accident with a Type IIIA open femur fracture complicated by a necrotizing soft-tissue infection (NSTI) with significant bone loss. Multiple limb-preserving operations failed, including the placement of a plate-assisted, motorized lengthening intramedullary nail with a chimeric free flap. We describe the patient's successful definitive treatment with a Van Nes rotationplasty (VNR). The patient currently ambulates independently with a prosthesis and is without recurrent infection after 3 years of follow-up | ||
| 520 | |a CONCLUSION: VNR is a potential strategy to avoid transfemoral amputation or hip disarticulation in open femur fractures complicated by NSTI | ||
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