FRACTURE OF THE TIBIAL PLATEAU SCHATZKER V AND SOFT TISSUE NECROSIS OF THE DISTAL TIBIA IN A PATIENT WITH UNCONTROLLED DIABETES – CASE REPORT

Authors

  • Valentin Vejseli University Clinic for TOARILUC, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia
  • Andreja Gavrilovski University Clinic for TOARILUC, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia
  • Hristijan Kostov University Clinic for TOARILUC, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia
  • Ana Kaftandzieva Institute of Microbiology and Parasitology, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia
  • Aleksandra Gavrilovska Dimovska University Clinic for Neurosurgery, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia
  • Hristijan Bozhinovski University Clinic for TOARILUC, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia
  • Aleksandar Trajanovski University Clinic for TOARILUC, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia
  • Teodora Todorova University Clinic for TOARILUC, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia
  • Simon Trpeski University Clinic for TOARILUC, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia

Keywords:

Tibial plateau fracture, Schatzker type V,, Compartment syndrome

Abstract

Tibial plateau fractures or proximal tibial fractures occur mostly due to car accidents, fall from a height or during sports activities. Usually these are injuries sustained due to a great force, and because of the proximity of the bone tissue to the skin they are often accompanied by a significant damage of the surrounding soft tissue. Having in mind the injuries of the soft tissue, an appropriate definitive plan is important. Certain plans need to be focused on the presence of blisters, open injuries and compartment syndrome.

We present a case of a 57-year-old patient who was admitted to the University Clinic for Traumatology due to a lower leg fracture as a result of high-energy trauma. The patient was injured in a car accident and suffered a platotibial fracture of the right leg according to the Schatzcker classification type V, and a patellar fracture without dislocation.

Despite the successful surgical treatment, the patient developed infection distal of the operated area, after which a necrosis of the soft tissues ensued, followed by a compartment syndrome. This type of complication has been described in the literature. We cannot be certain about the origin of the infection, but the obesity and the uncontrolled diabetes are definitely increasing the risk of infection and delayed wound healing.

References

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Published

2023-06-16 — Updated on 2023-07-06

Versions

Issue

Vol. 3 No. 2 (2023): Acad Med J

Section

Case Reports