Where is the fracture? Penetrating injury with a foreign bone

Injuries in the explosion scenarios are usually hollow organ injuries including rapid gas expansion, thermal injuries, penetrating injuries due to secondary projectiles and secondary injuries like falls and burns. Our case is a penetrating injury that was considered open knee fracture (Gustilo Anderson Type 3A) and peroneal nerve palsy in the emergency service after bomb attack but later it was seen that the secondary projectile was a foreign bone and the patient's bone integrity was intact. Our aim is to show that specific human tissues must be considered as a factor in the secondary injuries.

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Wightman JM, Gladish SL. Explosions and blast injuries. Ann Emerg Med. 2001;37:664e678.

DePalma RG, Burris DG, Champion HR, et al. Blast injuries. N Engl J Med. 2005;352:1335e1342.

Langworthy MJ, Smith JM, Gould M. Treatment of the mangled lower extremity after a terrorist blast injury. Clin Orthop Relat Res. 2004;422:88e96.

Frykberg ER, Tepas III JJ. Terrorist bombings: lessons learned from belfast to beirut. Ann Surg. 1988;208:569e576.

Yeh DD, Schecter WP. Primary blast injuriesdan updated concise review. World J Surg. 2012;36:966e972.

Leibner Efraim D, Weil Yoram. A broken bone without a fracture: traumatic foreign bone implantation resulting from a mass casualty bombing. J Trauma. 2005;58:388e390.

Braverman I, Wexler D, Oren M. A novel mode of infection with hepatitis B: penetrating bone fragments due to the explosion of a suicide bomber. Isr Med Assoc J. 2002;4:528e529.

Garner J, Brett SJ. Mechanisms of injury by explosive devices. Anesthesiol Clin. 2007;25:147e160.

Jacob E, Erpelding JM, Murphy KP. A retrospective analysis of open fractures sustained by U.S. Military personnel during operation Just Cause. Mil Med. 1992;157:552e556.

Reis ND, Zinman C, Besser MJB, Shiftin LZ, Rosen H. A philosophy of a limb salvage in war: use of the fixateur externe. Mil Med. 1991;156:505e520.
Acta Orthopaedica et Traumatologica Turcica-Cover
  • ISSN: 1017-995X
  • Başlangıç: 2015
  • Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
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