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Tight
plaster can still be the cause of loss of limb in Nepal.
Toddler Fracture
was treated in the remote area in tight local splinting requiring
amputation.
Unrecognized and untreated septic
arthritis of hip joint has caused bilateral hip joint
dislocations and
osteomyelitis of femur, otherwise treatable if caught earlier.
Broken Needle Exploration has
given severe infections requiring tibiotalar fusion.
Unrecognized joint swelling has
caused joint destruction and disability. A case of Tb arthritis
was managed with
subtotal synovectomy and knee fusion along with antitubercular chemotherapy
.
Communited femur fracture managed
with open K-nail elsewhere led to
massive infection that required eventually multiple debridements and
Ilizarov’s bone transport for bone healing.
Neglected elbow fracture
dislocations not managed in time
has led to very difficult complications.
Inappropriately treated humerus
shaft fracture fixation leading to nonunion.
Reoperation was advised, however patient did not show again.
Lion’s attack has caused severe
injury with complex distal humerus intraarticular fracture.
Surgery was undertaken to fix the fracture, and repair the radial nerve
.
Spinal Anomaly: Omovertebral body
causing torticollis was managed by
omovertebral body excision
.
Open reduction and iliac osteotomy
was done for paediatric hip dislocation.DDH is not very common in Nepal, however
scattered such cases are found here and there. Infective and neglected
posttraumatic hip dislocations are however common.
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