The Adventure of Living in the Kingdom of God

Tuesday, March 5, 2013

Kenya: Other Interesting Cases

Overall, I was involved in 36 cases during my time at Tenwek. Here is a sampling of some of the other cases during my time there.

Case #1: 9 yr Male, Right Tibial Osteomyelitis (Bone Infection)

9 year old precious boy with right tibial osteomyelitis (bone infection) with chronic draining sinuses. See xrays and picture of his leg below.

9 yr Male: Right Tibial Osteomyelitis (For non-medical folks, the bone shouldn't look like that!)
9 yr Male: Chronic Osteomyelitis with draining sinuses.

Case #2: 50 yr Male, Radius & Ulna Fractures (Forearm)
Left Radius & Ulna shaft fracture. 50 year old male with history of polio and severe hip & knee flexion contractures.   

Case #3: 65 year Male, Ankle Fracture-Dislocation
Example of the Poor Medical Care provided at some of the local government hospitals. 65 year old male with a closed ankle fracture-dislocation who presented to a government hospital. Ankle was splinted where it was without any attempt at reduction. He showed up at Tenwek after his fibula eroded through the skin and had a large open wound. He was washed out multiple times and was pending a below-knee-amputation when I left the hospital.
Case #4: 55 year female with Right Pertrochanteric/Subtrochanteric hip fracture

Right Hip Fracture

Postop: Piriformis entry femoral recon nail used along with a cerclage cable to achieve fixation.

Case #5: 24 yr Female, Right Subtrochanteric Femur Fracture

Right Subtrochanteric Femur Fracture
Postop: Right Antegrade Femoral SIGN Nail
 Case #6: 19 year Male, Closed Clavicle Fracture, tenting the skin

Closed Clavicle Fracture, button-holed through trapezius muscle belly

ORIF Clavicle Fracture, 3.5 mm Recon Plate
Case #7: 25 year Male, Grade 3 Open Tibia/Fibula Fracture

Right Distal Tibial Shaft Fracture with large soft tissue defect. Treated definitively with External Fixation.
Grade 3 Open Tibia & Fibula Fracture with Soft Tissue Defect.

A fantastic orthopedic experience...!!

No comments:

Post a Comment