Complete ejection of a ring sequestrum 8 years after external fixation of the tibia
Publication date
2020-03-29
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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