case_images: PMC11823859_01
case_images: Volar aspect of distal wrist with compound wound and sutures taken.
case_images: JOCR-15-70-g001.jpg
case_images: PMC11823859_01_JOCR-15-70-g001.jpg
case_images: F1
case_images: There was a sutured wound present over the volar aspect on distal forearm of size 2 cm x 1 cm (Fig. 1).
case_images: Clinical picture showing anterior aspect of elbow joint with multiple blisters and tense swelling.
case_images: JOCR-15-70-g002.jpg
case_images: PMC11823859_01_JOCR-15-70-g002.jpg
case_images: F2
case_images: Limb was warm, and there were multiple blisters present over the flexor aspect over anti-cubital fossa of the left limb (Fig. 2).
case_images: Radiographs of left supracondylar humerus fracture (Gartland type 4) and fracture of left distal end radius with distal ulna.
case_images: JOCR-15-70-g003.jpg
case_images: PMC11823859_01_JOCR-15-70-g003.jpg
case_images: F3
case_images: X-rays revealed ipsilateral left supracondylar humerus fracture (Type 4 according to Gartland Classification which is multidirectional instability with circumferential periosteal disruption) with distal end radius and distal ulna fracture (Fig. 3).
case_images: Intraoperative image of forearm, arm, and hand fasciotomy.
case_images: JOCR-15-70-g004.jpg
case_images: PMC11823859_01_JOCR-15-70-g004.jpg
case_images: F4
case_images: Then, forearm fasciotomy was done through the midline volar incision, and superficial and deep compartments were released (Fig. 4). Then, fasciotomy at the arm was done through a lateral incision at the inter-muscular septum releasing the anterior and posterior compartment (Fig. 4). Finally, fasciotomy of the hand was done through dorsal approach by longitudinal incision between second-third and fourth-fifth metacarpals (Fig. 4).
case_images: Post-operative image showing fixation of supracondylar fracture with K-wire in above-elbow and lateral views.
case_images: JOCR-15-70-g005.jpg
case_images: PMC11823859_01_JOCR-15-70-g005.jpg
case_images: F5
case_images: In view of medial commination, an additional K-wire was passed from the medial side with the elbow in extension (Fig. 5).
case_images: Post-operative radiograph of fixation of distal end radius and ulna with K-wires.
case_images: JOCR-15-70-g006.jpg
case_images: PMC11823859_01_JOCR-15-70-g006.jpg
case_images: F6
case_images: Furthermore, distal radioulnar junction was unstable so ulno-radial K-wire was put (Fig. 6).
case_images: Intraoperative images of shoelace suturing of the forearm and arm fasciotomy.
case_images: JOCR-15-70-g007.jpg
case_images: PMC11823859_01_JOCR-15-70-g007.jpg
case_images: F7
case_images: We used the shoelace technique for closure of the fasciotomy wound (Fig. 7).
case_images: Split-thickness skin graft done over the forearm and arm showing good uptake.
case_images: JOCR-15-70-g008.jpg
case_images: PMC11823859_01_JOCR-15-70-g008.jpg
case_images: F8
case_images: Wounds healed well with good uptake of STSG (Fig. 8).
case_images: Post-operative 6-month skin condition showing good uptake and range of motion.
case_images: JOCR-15-70-g009.jpg
case_images: PMC11823859_01_JOCR-15-70-g009.jpg
case_images: F9
case_images: At 6-month follow-up, the patient had elbow ROM of 0-100 , full ROM at wrist, and full prono-supination (Fig. 9) and X-rays showed good union at fracture site (Fig. 10).