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CASE REPORT
Acute shortening and angulation for limb salvage in a paediatric patient with a high-energy blast injury
  1. Yoav Yechezkel Pikkel1,*,
  2. Jessica Jeanne Wilson2,*,
  3. Shokrey Kassis3,
  4. Alexander Lerner4
  1. 1Hebrew University, Jerusalem, Israel
  2. 2Department of Surgery, Ziv Medical Center, Safed, Israel
  3. 3Department of Plastic Surgery, Ziv Medical Center, Safed, Israel
  4. 4Department of Orthopaedics, Ziv Medical Center, Safed, Israel
  1. Correspondence to Dr Shokrey Kassis, kassis.shokrey{at}gmail.com

Summary

We present the case of an 8-year-old girl casualty of the Syrian conflict who arrived with open fractures of the right tibia and fibula with extensive bone and soft tissue loss as well as an open fracture of the left calcaneus as the result of a high-energy blast injury. She was successfully treated with repeated debridement procedures, external fixation with acute temporary shortening and angulation of the right leg and skin grafting to both lower limbs.

https://doi.org/10.1136/bcr-2013-203431

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