Wednesday 8 February 2017

Desun puts child with crushed legs back on her feet



Amina Khatun of South Baidyapur North 24 Parganas is 5 years old, she met with an unfortunate road accident. While crossing a busy highway she was run over by a speeding truck on 14/02/2011.

She had injuries over her head and her let lower limb where bones and tendons were exposed over her left foot. The patient had a developing injury (an injury where an avulsion taken place in which a large section of skin and fat is completely torn off from the underlying issue, compromising its blood supply) also she had a foot drop injury of her left lower limb.  A CT Scan of the brain was done, the CT was found to be normal. The neuro team of Desun recommended conservative treatment regarding the head injury. She received 1 unit of cross matched whole blood transfused as her Hb (Hemoglobin) fell to 7.8 gm%.

Initially the team of Desun doctors thought that the limbs have to be computed. But the doctors accepted the challenge never the less. After stabilising her clinically without delay she was operated on 15/02/2011. The team of Plastic & Re-constructive Surgeons took around 5 hours to repair the left lower limb followed by skin grafting over the exposed areas. Amina’s foot drop was treated by a tendon transplantation which was done to the small muscles of the left foot and most of her muscles were also reconstructed. Tibialis anterior muscle rotation was done to cover up the exposed bone, And muscle flops were used to cover up the facial injuries. The patient received another unit of cross matched whole blood transfusion. Post operatively the patient recovered well. On 19/02/2011 first post-operative dressing was done, graft taken was 98% successful and dressing of the operated site was done and back slab was applied. The patient was discharged from the hospital in a stable condition. She re-visited the Desun OPD on 25/02/2011. Now the child is walking on her own two feet. This was possible only because of the timely intervention by the Desun Critical Care Team.

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