Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared

Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared

Salter Harris–type injuries of the distal femur should be treated as a dislocation of the knee and therefore as a medical emergency. Senior medical staff should be involved early, ankle–brachial index ratio should be measured in all patients and the clinician should have a high index of suspicion fo...

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Veröffentlicht in:JIM - high impact case reports 2013-07, Vol.1 (3), p.2324709613500238-2324709613500238
Hauptverfasser: McKenna, Sean M., Hamilton, Steven W., Barker, Simon L.
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Barker, Simon L.
description Salter Harris–type injuries of the distal femur should be treated as a dislocation of the knee and therefore as a medical emergency. Senior medical staff should be involved early, ankle–brachial index ratio should be measured in all patients and the clinician should have a high index of suspicion for a vascular injury. Ideally reduction, stabilization, and vascular repair, if necessary, should be carried out within 6 hours of the initial event. There should be a low threshold for fasciotomies. These 2 cases demonstrate the importance of having a high index of suspicion for vascular injury and the need for continued reassessment.
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title Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared
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