From: The Libyan civil conflict: selected case series of orthopaedic trauma managed in Malta in 2014
Case | Bone injuries | Primary fixation | Secondary fixation | Outcome |
---|---|---|---|---|
1 | Left subtrochanteric femoral fracture, Right open ankle fracture, missing calcaneum | Left femoral external fixator, right tibio-metatarsal external fixator | Left Intramedullary femoral nail, right below knee amputation | Transferred to rehabilitation hospital |
2 | Right open elbow fracture, left comminuted mid-shaft humeral fracture | Right humero-ulnar external fixator and multiple Kirsches wire fixation, left non-spanning humeral external fixator | Repeated soft tissue debridements and necrectomies, removal of infected metalwork | Inpatient mortality due to sepsis |
3 | Left comminuted proximal femur fracture, right open tibia/fibular fracture, right superior and inferior pubic rami fracture, T12 vertebral body fracture | Left femoral external fixator, right tibio-calcaneal external fixator | Left Intramedullary femoral nail, right conversion to ring external fixator | Transferred to rehabilitation hospital |
4 | Right comminuted open distal femur and tibial fracture | Right femoro-tibial external fixator | Repeated soft tissue debridements and necrectomies, Planned knee fusion | Discharge against medical advise |
5 | T5 metal foreign body, Right scapular and rib fracture | Nil | Observations, Acute rehabilitation | Transferred to rehabilitation hospital |
6 | Traumatic amputation of lateral four metatarsals of right foot | Right tibio-metatarsal external fixator | Repeated soft tissue debridements then eventual right below knee amputation as foot deemed unsalvageable | Transferred to rehabilitation hospital |