Delay of clinical manifestation and medical malpractice in a serious vascular complication of proximal locked tibial nailing.
We are reporting on a case of complex lesion of the popliteal neurovascular bundle in a young woman, resulting from an operation for reduction and synthesis of a closed spiroid fracture of the mid-distal third of the left tibia by means of a Grosse-Kempf nail, with significant delay of clinical manifestation. Determining whether this is an "unavoidable complication" or "medical malpractice" is the target of the forensic investigation. In this case, the investigation leads to the conclusion that medical malpractice was the only explanation of the damage.
Orrico
Marco
M
Department of Medicine and Public Health, Section of Legal Medicine, Verona University, Verona, Italy. marcoorvr@libero.it
Lavini
Franco
F
De Leo
Domenico
D
D005260:Female; D005554:Forensic Medicine; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects*; D005596:Fractures, Closed / Q000601:surgery; D006406:Hematoma / Q000209:etiology; D006801:Humans; D008318:Malpractice; D009408:Nerve Compression Syndromes / Q000209:etiology; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D011152:Popliteal Vein / Q000293:injuries*; D011859:Radiography; D013978:Tibial Fractures / Q000601:surgery*; D013979:Tibial Nerve