Open fractures of the lower limb are still posing a significant problem. If not in acute management, certainly longterm management is still an issue. How to manage these patients in a timely manner with as low complication rate as possible remains open for discussion.
I will be presenting our management of a patient with open fractures of distal femur and tibia together with the destruction of the medial femoral condyle beyond reconstruction. Whilst an amputation is certainly the quickest solution, it is not as good on a long term. Reconstruction again seems expensive and time consuming, but it looks that it is cheeper on a long run and offers better life quality.
Mr Matija Krkovic, MD, PhD
I am Consultant Orthopaedic Trauma Surgeon with special interest in Limb reconstructions and bone infections.