[Ortho] crush distal tibia

[Marek Kolasniewski]

Dear colleagues!
I've sent you picture of the leg. I have problem with this patients because he has had dyspnoea, hemoptysis. We have made, ABG, X-Ray, etc and finally angio-CT of thorax. Our diagnosis is fat embolus syndrome with some kind of acute lung injury (moderate hypoxia) 
Now, he has had 3rd debridement in medial part of the leg, but his problem is also in lateral part - Morel - Lavalle Lesion...
In Friday I hope to stabilize ankle fracture. And then I plane to make acute shortening after remove all necrotic tissue from lateral and posterior compartment.

Best regards 

Marek Kolasniewski 
Orthopedic and Trauma Unit 
Military Hospital 
Poznan 
Poland  


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