Varghese P, Lam A, Richardson D, Kang KK. Soot-Embedded Extruded Talus Fracture After a 5-Story Fall: A Case Report.
JBJS Case Connect 2023;
13:01709767-202303000-00019. [PMID:
36706197 DOI:
10.2106/jbjs.cc.22.00517]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2022] [Accepted: 11/28/2022] [Indexed: 01/29/2023]
Abstract
CASE
A 17-year-old boy presented with an open talus fracture complicated by soot contamination after a chimney-related accident. Standard irrigation and debridement (I&D) methods were used, but complete removal of soot was not possible. At the latest follow-up, there was no evidence of infection, hardware failure, or avascular necrosis.
CONCLUSION
There is a lack of well-established guidelines regarding I&D of traumatic wounds contaminated with fine particulates. A review of potential debridement methods is discussed. Orthoapedic surgeons should be aware of hydrosurgical debridement as a potential treatment approach in these unique scenarios.
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