Open Access DOI:10.23937/2469-5777/1510103
Early and Isolated Cerebral Fat Embolism in a Trauma Patient with Multiple Fracture - A Case Report
Adriano Braile, Carlo Maurea, Giuseppe Toro, Antonio Bove, Nicola Orabona and Giovanni Matino
Article Type: Case Report | First Published: 2024/03/03
Fat embolism syndrome (FES) is defined as the presence of fat particles (i.e., > 100 particles per mm2) in the blood circulation that result in symptoms and/or organ failure. FES could result from mechanical causes, trauma or sepsis and, even if very rare, is a fatal disease that develops within 12-72 hours. FES manifestations can vary from mild cognitive changes to coma and even cerebral edema and brain death. The exact incidence of FES stemming from traumatic long bone injuries varies in liter...
Open Access DOI:10.23937/2469-5777/1510101
Removal of a Bent Intramedullary Nail in Lower Extremity: Review of Removal Techniques
Mahircan Demir and Caner Citak
Article Type: Review Article | First Published: 2023/11/25
Intramedullary nailing (IMN) is a standard orthopedic procedure for treating fractures in the lower extremity. While IMNs are generally effective, rare complications, such as nail bending, can present challenges for both patients and surgeons. This article presents a case report of a patient with a bent intramedullary nail in the lower extremity and provides a comprehensive literature review on the management of this unusual complication. ...
Open Access DOI:10.23937/2469-5777/1510098
Acute Lower Extremity Posterior Compartment Syndrome: A Rare Complication of Apixaban Use
Jennifer Adams, BS, Jose H Ramos, MD, Shyama Appareddy, MD and Gustavo Garcia, MD, FACP
Article Type: Case Report | First Published: April 15, 2022
Apixaban is an oral anticoagulant that directly inhibits Factor Xa and is indicated for the prophylaxis and treatment of deep venous thrombosis and stroke prevention in nonvalvular atrial fibrillation. Acute lower extremity Posterior Compartment Syndrome is a rare complication of Apixaban use. We present a 78-year-old male with significant medical morbidities taking Apixaban for Atrial Fibrillation presenting with post-traumatic extensive hemorrhagic bullae on the left proximal pretibial region ...
Open Access DOI:10.23937/2469-5777/1510097
Complex Sacral Fracture and Associated Soft Tissue Injuries: A Case of Multidisciplinary Management in Polytrauma
Italia Odierna, MD, Carlo B Bussemi, MD, Fulvio Scarpato, MD, Daniele Scarano, MD, Iolanda Esposito, MD, Emanuela Apicella, MD, Salvatore Guerriero, MD and Vincenzo Stridacchio, MD
Article Type: Case Report | First Published: April 08, 2022
Treatment of high-energy trauma of the lumbosacral region is a challenging entity for clinicians. They are complex and often associated with other injuries such as active bleeding and substantial soft tissue injuries. Therefore, good wound healing is reliant on multiple local and systemic factors. Only a multidisciplinary approach between the trauma team and subspecialists will dictate the most appropriate management for these patients, and recent data has shown that best outcomes are obtained w...
