Complete ejection of a ring sequestrum 8 years after external fixation of the tibia

Publication date

2020-03-29

Authors

Timmer, Isabella Regina
Emmink, Benjamin L.ISNI 0000000389626001
Leenen, L. P.H.ORCID 0000-0001-8385-1801ISNI 0000000390070047
Govaert, Geertje A.M.ORCID 0000-0002-6033-1835

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Document Type

Article

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taverne

Abstract

On the day of scheduled debridement for a persistent pin tract infection, a 23-year old man presented himself carrying a small bony ring sequestrum that had spontaneously ejected from his tibial wound 1 week earlier. Eight years prior to presentation, he was treated for an open crural fracture which was stabilised with an external fixator. Revision of the operation notes revealed that the placement of this external fixator was performed without predrilling.

Keywords

Anti-Bacterial Agents/therapeutic use, Bone Nails/adverse effects, Clindamycin/therapeutic use, Combined Modality Therapy, Debridement, External Fixators/adverse effects, Fractures, Open/surgery, Humans, Male, Osteomyelitis/microbiology, Staphylococcal Infections/therapy, Tibial Fractures/surgery, Vancomycin/therapeutic use, Young Adult, Taverne, Case Reports, Journal Article

Citation

Timmer, I R, Emmink, B L, Leenen, L P H & Govaert, G A M 2020, 'Complete ejection of a ring sequestrum 8 years after external fixation of the tibia', BMJ Case Reports, vol. 13, no. 3, e233196, pp. 1-3. https://doi.org/10.1136/bcr-2019-233196