Abstract

ALVAREZ LOPEZ, Alejandro  and  GARCIA LORENZO, Yenima de la Caridad. External fixation in a patient with open tibial pylon fracture: a case report. AMC [online]. 2015, vol.19, n.2, pp.148-153. ISSN 1025-0255.

Background: tibial pylon fractures are traumatic diseases that appear very frequently due to a mechanism of axial compression of the extremity. Objective: to present the case of a patient with tibial pylon fracture treated by means of triangular external fixation. Clinical case: a fifty-two-year-old, white, male patient with antecedents of being a healthy person who fell from a horse and then presented pain, inflammation, and functional impotence located at distal level in the right leg that impaired him from walking and leaning on his extremity. A varus deformity above the ankle and a very contaminated 3-odd cm medial wound of irregular margins, were found in the physical examination. Palpation showed an abnormal mobility and crepitation at the level of the fracture focus. No abnormalities were observed in the neurovascular examination. The patient was treated with the placement of Kirschner wires for the fibula fracture and with external fixation in triangular configuration. Conclusions: external fixation is an effective method in the treatment of patients with open tibial pylon fractures.

Keywords : FIBULA [injuries]; LEG INJURIES; BONE WIRES; FRACTURE FIXATION; CASE STUDIES.

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