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CASE REPORT
Year : 2016  |  Volume : 50  |  Issue : 2  |  Page : 213-217

Severely comminuted radius fracture presenting as a signature patterned injury


1 Department of Orthopaedics, Mahavir Hospital, Indore (M.P.), India
2 Department of Orthopaedics, Synergy Hospital, Indore (M.P.), India
3 Department of Spinal Surgery, Queens hospital, Nottingham, United Kingdom

Correspondence Address:
Saurabh Jain
A-2, Mahavir Hospital, Footi Khothi Square, Indore, Madhya Pradesh - 452 009
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.177585

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Dilemma still prevails, regarding the exact management of mangled extremity injuries between limb salvage versus amputation, each having there own set of complications. We here present a case of severely comminuted fractures of radius (bag of bones) along with the multiple criss-cross shaped lacerated wounds on the forearm and wrist presenting as a “signature pattern injury” caused by entrapment of the limb in the concrete mixer. MESS score of patient was 8, a score valid for amputation, but contrary, we successfully salvaged the patient's limb with use of radio-carpal distracter. Management of mangled injuries should be individualized, with due consideration to the mechanism and force of injury, associated injuries, and the patient profile.


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