BACKGROUND Floating elbow along with ipsilateral multiple segmental forearm fracture is a rare and high-energy injury,although elbow dislocation or fracture of the ulna and radius may occur separately.CASE SUMMARY We ...BACKGROUND Floating elbow along with ipsilateral multiple segmental forearm fracture is a rare and high-energy injury,although elbow dislocation or fracture of the ulna and radius may occur separately.CASE SUMMARY We report the case of a 37-year-old woman with open(IIIA)fracture of the right distal humerus with multiple shaft fractures of the ipsilateral radius and ulna with a history of falling from a height of almost 20 m from a balcony.After providing advanced trauma life support,damage control surgery was performed to debride the arm wound and temporarily stabilize the right upper limb with external fixators in the emergency operating room.Subsequently,one-stage internal fixation of multiple fractures was performed with normal values of biochemical indicators and reduction in limb swelling.The patient achieved good outcome at the 7 mo follow-up.CONCLUSION One-or two-stage treatment must be performed according to the type of injury;we efficiently used the“damage control principle.”展开更多
The treatment strategy for blast injuries is closely linked to the clinical outcome of blast injury casualties.However,the application of military surgery experience to blast injuries caused by production safety accid...The treatment strategy for blast injuries is closely linked to the clinical outcome of blast injury casualties.However,the application of military surgery experience to blast injuries caused by production safety accidents is relatively uncommon.In this study,the authors present 2 cases of blast injuries caused by one gas explosion,both cases involved individuals of the same age and gender and experienced similar degree of injury.The authors highlight the importance of using a military surgery treatment strategy,specifically emphasizing the need to understand the concept of damage control and disposal.It is recommended that relevant training in this area should be strengthened to improve the clinical treatment of such injuries.This study provides a valuable reference for healthcare professionals dealing with blast injuries.展开更多
基金Supported by Discipline Construction Project of Characteristic Clinic of Pudong New Area Health Commission,China,No.PWYts2018-03Research Grant for Health Science and Technology of Pudong Health and Family Planning Commission of Shanghai,China,No.PW2020A-28Top-notch Talent Training Program of Pudong Gongli Hospital,China,No.GLRb2020-04.
文摘BACKGROUND Floating elbow along with ipsilateral multiple segmental forearm fracture is a rare and high-energy injury,although elbow dislocation or fracture of the ulna and radius may occur separately.CASE SUMMARY We report the case of a 37-year-old woman with open(IIIA)fracture of the right distal humerus with multiple shaft fractures of the ipsilateral radius and ulna with a history of falling from a height of almost 20 m from a balcony.After providing advanced trauma life support,damage control surgery was performed to debride the arm wound and temporarily stabilize the right upper limb with external fixators in the emergency operating room.Subsequently,one-stage internal fixation of multiple fractures was performed with normal values of biochemical indicators and reduction in limb swelling.The patient achieved good outcome at the 7 mo follow-up.CONCLUSION One-or two-stage treatment must be performed according to the type of injury;we efficiently used the“damage control principle.”
基金support from the key research project of China(grant Nos.BLJ22C011)。
文摘The treatment strategy for blast injuries is closely linked to the clinical outcome of blast injury casualties.However,the application of military surgery experience to blast injuries caused by production safety accidents is relatively uncommon.In this study,the authors present 2 cases of blast injuries caused by one gas explosion,both cases involved individuals of the same age and gender and experienced similar degree of injury.The authors highlight the importance of using a military surgery treatment strategy,specifically emphasizing the need to understand the concept of damage control and disposal.It is recommended that relevant training in this area should be strengthened to improve the clinical treatment of such injuries.This study provides a valuable reference for healthcare professionals dealing with blast injuries.
