Case report: Treatment of rare type of open supracondylar humerus fracture.

Introduction and importance: Supracondylar humerus fractures are common in children but open type is very rare (almost %1 of all supracondylar humerus fractures) and the treatment strategy for these fractures is yet to be standardized. Case presentation: 11-year-old boy was brought to our hospital with pain in his left arm with high energy trauma history of motor accident. On the first examination the elbow was found swollen and 3 cm wide wound observed on the flexor aspect of the elbow and the median nerve was seen stretched on the distal humerus.We shared the 6-month results of our patient who was fixed with Kirshner-wire after open surgery and reduction. Clinical discussion: Although open supracondylar humeral fractures are rare, care should be taken in terms of neurovascular injury and infection in these patients. It should be followed closely in terms of loss of reduction in the postoperative period. Conclusion: In these cases, the patient should be called to close controls, and the time of removal of splints and wires should be adjusted well.

Limb Ischemia Associated With Covid-19 and Its Treatment With Above-Knee Amputation.

An 84-year-old male patient with no known comorbidity was admitted to the emergency department with complaints of dyspnea and respiratory distress. The patient was referred to the COVID outpatient clinic, laboratory and radiology tests were performed. Thoracic CT scan of the patient showed large peripheral patchy ground glass densities observed in the lower lobes of both lungs. CT imaging findings were evaluated by an experienced radiologist and reported as COVID-19 pneumonia. The patient, who was self-isolated at home for 5 days, presented to the emergency department again on the fifth day with complaints of respiratory distress, fever, bruising with cough, and loss of peripheral pulse in the left lower extremity. Necessary tests were performed on the patient. An above-knee amputation was performed when a diagnosis of limb ischemic necrosis was made and no revascularization attempt was considered by the CVS department. This case study describes the coexistence of sudden lower extremity thrombosis and Covid-19 in our case without a known chronic disease.

Should you fix again? An unusual fracture of a distal epiphyseal radius fracture - A case report.

Currently, Salter-Harris (SH) classification is generally used in physeal fractures, as it is reliable and valuable in many cases. Although this clasification system describes many different fracture configurations, still there is an unclassifed group of fractures. Here, we present the case of an 11-year-old boy who underwent surgery after fracture of distal radial epiphysis,of the type still unclassified according to SH classification. The main reason for ourresearch was that the line of treatment could not be decided initially after the first operation. The current classsifications that are close to SH and essentials on the neccesity of surgical approach were dicussed. Surgery must be attempted in cases in which it cannot be decided whether it is a SH type 2 or 3. Besides this situation, an attempt must be made for the classification of the fracture (Ogden tip 2b, Sferoupulos tip 3). Another important point is to decide where the fracture line goes in the layers of physis.