Jain S, Rajan S, Srivastava A. Severely comminuted radius fracture presenting as a signature patterned injury.
Indian J Orthop 2016;
50:213-7. [PMID:
27053813 PMCID:
PMC4800966 DOI:
10.4103/0019-5413.177585]
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Abstract
Dilemma still prevails, regarding the exact management of mangled extremity injuries between limb salvage versus amputation, each having there own set of complications. We here present a case of severely comminuted fractures of radius (bag of bones) along with the multiple criss-cross shaped lacerated wounds on the forearm and wrist presenting as a "signature pattern injury" caused by entrapment of the limb in the concrete mixer. MESS score of patient was 8, a score valid for amputation, but contrary, we successfully salvaged the patient's limb with use of radio-carpal distracter. Management of mangled injuries should be individualized, with due consideration to the mechanism and force of injury, associated injuries, and the patient profile.
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