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#1
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11-18-2012, 03:06 PM
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 ♚ Legacy Gold Member ♚ Poster Rank:34 Female Join Date: Nov 2008 Posts: 43,403
Contributions: 204
Mentioned: 95 Post(s) Quoted: 2281 Post(s)
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Major Crush Injury To Coal Miner's Leg
A coal miner was injured in a mine accident when a heavy coal trolley overturned and 30 tone of weight fell over his leg. He was rushed to hospital for further management. There was a severe lower limb injury with a coarsely sutured wound present over the upper 3/4 of the leg with evidence of fracture. Patient was admitted under orthopaedics and plastic surgery. The patient was taken to theatre immediately and assessed. There was severe crushing of the soft tissues, circumferential degloving of the leg, complete loss of muscles of the anterolateral compartment of the leg. Presenting picture in casualty  Radiograph of the patient showing fractures  Opening the sutures revealed the severity of the injury    Intra operative picture during surgical debridement before fixation of fracture. A decision to try and save the leg was taken. Possibility of amputation was explaned.  Fixation of the tibia following debridement  Further debridement done after 5 days revealing further tissue loss and vessel damage. Deemed too risky for a salvage procedure and the extent of the defect was too large to do a coverage.  Decision not to salvage the leg was made and explained to the relatives who reluctantly agreed.  |
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#5
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11-18-2012, 05:00 PM
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 My Rank: CORPORAL Poster Rank:1581 Join Date: Jan 2010 Posts: 352 Mentioned: 1 Post(s) Quoted: 14 Post(s)
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Re: Major Crush Injury To Coal Miner's Leg
"We cannot salvage that leg, so let's just put it in the most horrifying pose we can and take a picture of it."  |
"Where the heck is this from??"
