Minimally-Invasive Treatment of Multiple Trauma Concomitant with Idiopathic Portal Hypertension (IPH)

Author(s): Tae-Hyok RI, Hak-Su Kim, Chang-Hwan O, In-Song RI

Context: Multiple trauma concomitant with idiopathic portal hypertension (IPH) encountered in orthopaedics department is very rare.

Methods and Material: A 23-year old male presented with right femoral subtrochanteric fracture and ipsilateral open tibial and fibular fracture. He had been suffered IPH from childhood and his laboratory test results was too poor to undergo invasive surgery. Minimally invasive treatment fashions were selected, including skeletal traction, external fixation and autograft skin coverage.

Results: At follow-up of 8 months, he regained full weight bearing function and was satisfied with the result.

Conclusions: Selection of minimally invasive treatment options in case of multiple trauma concomitant with severe systemic lesion like IPH is mandatory to avoid massive and critical invasion, and to recover limb’s function properly.

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