title: Reimplantation of contaminated extruded segment of lateral femoral condyle cleansed with 10% povidine-iodine in complex floating knee injury with excellent outcome: Case report with 2 year follow up.
abstract: Traumatic extrusion of bone is a rare complication of high energy open fractures, and there are only few studies published in literature on reimplantation of the extruded bone segment. Studies with clear guidelines regarding timing of reimplantation, stabilisation of extruded bone segments, bone disinfection and disinfection techniques are very few. Previous reports describe disinfection using thermal or chemical methods. We present a case scenario of successful reimplantation of an extruded metaphyseal segment of distal femoral condyle following cleaning with copious saline and soaked in 10% povidine-iodine for 20 min in a 21 year old male patient of a complex floating knee injury with excellent outcome based on Karlstrom and Olerud criteria.
authors.affiliation: Preethi Hospitals Pvt Ltd., Madurai, India.
authors.forename: Prahalad Kumar
authors.initials: PK
authors.lastname: Singhi
authors.affiliation: Preethi Hospitals Pvt Ltd., Madurai, India.
authors.forename: R
authors.initials: R
authors.lastname: Sivakumar
authors.affiliation: Preethi Hospitals Pvt Ltd., Madurai, India.
authors.forename: V
authors.initials: V
authors.lastname: Somashekar
authors.affiliation: Preethi Hospitals Pvt Ltd., Madurai, India.
authors.forename: Vinayak
authors.initials: V
authors.lastname: Kusabi
authors.affiliation: Preethi Hospitals Pvt Ltd., Madurai, India.
authors.forename: T
authors.initials: T
authors.lastname: Vinoth
keywords: 10% Povidine-iodine; Disinfection; Extruded bone; Open floating knee injury