Presentation
History of fell down from the bus and twisted his right foot today morning, on examination deformity, swelling, and severe bony tenderness right lower leg.
Patient Data
Age: 30 years
Gender: Male
From the case:
Spiral fractures of the right distal tibia and fibula
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Spiral fractures of the right distal tibia and fibula are seen with mild displacement.
Control XR after surgical Rx
From the case:
Spiral fractures of the right distal tibia and fibula
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The X-ray shows the internal fixation of the tibial fracture by intramedullary nail and the fracture of the fibula by a plate and multiple screws in good alignment are noted through the plaster cast.
Skin staplers.
Case Discussion
On follow-up the patient was re-evaluated in the hospital where it was found by clinical examination:
- patient skin on the right leg was intact.
- deformity, swelling, and severe bony tenderness right lower leg.
- no neurovascular deficit (motor function and sensation are intact)
- the tibial pulse was palpable
A decision was made that the case needs surgical intervention.
- preoperative diagnosis
- spiral fractures of the right distal tibia and fibula are seen with mild displacement
- intraoperative notes:
- internal fixation of the tibial fracture by intramedullary nail.
- internal fixation of the fibula fracture by a plate and multiple screws.
- good alignment is noted.
- skin staplers
- plaster cast is applied