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19 year male patient with firearm injury from one month with inlet and outlet skin injury , infection profile ESR 100 CRP +18 with serious fluid from inlet , HB 10.5 and all other labs within normal , your comments for best ttt to patient
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Ali Zaki TEMPORARY EXT. FIX. UNTIL INFECTION SUBSIDE CLINICAL AND LABORATORY THEN PERMANENT FIX. BY PLATE OR NAILING -
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Haytham Agwa Serial debridement and irrigation with exploration to exanguate deep infection ( I.V antibiotics 3rd generation & aminoglycoside)==> definitive temp. Fixation via external fixator ==> monitoring of infection profile ==> subsidence of infection ==> PRoximal femoral locked plate or PFN and tension band for the GT ) good luck ya basha -
Mohamed Shaltoot Inlet and outlet firearm skin injury is small and second infection profile is still high after 5 days of antibiotics -
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