Reimplantation of contaminated extruded segment of lateral femoral condyle cleansed with 10% povidine-iodine in complex floating knee injury with excellent outcome: Case report with 2 year follow up
Dr. Prahalad Kumar Singhi
Dr. R. Siva Kumar
Dr. V. Somashekar
Dr. Vinayak Kusabi
Dr. T. Vinoth
Affiliations expand
- PMID: 28018071
- PMCID: PMC5167507
- DOI: 10.1016/j.jcot.2016.09.004
Abstract
Traumatic extrusion of bone is a rare complication of high energy open fractures, and there are only few studies published in literature on reimplantation of the extruded bone segment. Studies with clear guidelines regarding timing of reimplantation, stabilisation of extruded bone segments, bone disinfection and disinfection techniques are very few. Previous reports describe disinfection using thermal or chemical methods. We present a case scenario of successful reimplantation of an extruded metaphyseal segment of distal femoral condyle following cleaning with copious saline and soaked in 10% povidine-iodine for 20 min in a 21 year old male patient of a complex floating knee injury with excellent outcome based on Karlstrom and Olerud criteria.
Keywords: 10% Povidine-iodine; Disinfection; Extruded bone; Open floating knee injury.
Conflict of interest statement
Conflict of Interest: Nil.
Figures
Fig. Preoperative radiograph AP…
Fig. Post-operative wound status with ex-fix.
