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Table 2 Summary of the interventions performed and outcomes achieved

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

  1. The primary fixation was performed in Libya, and secondary fixation carried out in Malta