case_images: PMC10894075_01
case_images: Wound in the posterolateral aspect of the distal right forearm with right distal ulna bone exposed
case_images: cureus-0016-00000052958-i01.jpg
case_images: PMC10894075_01_cureus-0016-00000052958-i01.jpg
case_images: FIG1
case_images: At the time of presentation, local examination of the right forearm had a raw area of size 3 x 2 cm present in the posterolateral aspect of the distal forearm adjacent to the flap, distal ulna bone exposed (Figure 1), wrist range of movements absent, flickering movements of fingers present, radial artery pulse present, and sensation decreased in all dermatomes of the right hand.
case_images: Non-healing ulcer over right below-knee stump
case_images: cureus-0016-00000052958-i02.jpg
case_images: PMC10894075_01_cureus-0016-00000052958-i02.jpg
case_images: FIG2
case_images: A nonhealing ulcer was present over the below knee stump right (Figure 2).
case_images: PMC10894075_02
case_images: X-ray pelvis anteroposterior view showing pubic symphysis diastasis (marked with blue arrow) and sacroiliac joint disruption right (marked with green arrow)
case_images: cureus-0016-00000052958-i03.jpg
case_images: PMC10894075_02_cureus-0016-00000052958-i03.jpg
case_images: FIG3
case_images: Preoperative radiographs of the pelvis (Figure 3), right thigh with the below-knee stump (Figures 4, 5), right forearm (Figures 6, 7), and preoperative CT pelvis (Figures 8-14) were performed.
case_images: X-ray anteroposterior view showing below-knee amputation stump right
case_images: cureus-0016-00000052958-i04.jpg
case_images: PMC10894075_02_cureus-0016-00000052958-i04.jpg
case_images: FIG4
case_images: Preoperative radiographs of the pelvis (Figure 3), right thigh with the below-knee stump (Figures 4, 5), right forearm (Figures 6, 7), and preoperative CT pelvis (Figures 8-14) were performed.
case_images: X-ray lateral view showing below-knee amputation stump right
case_images: cureus-0016-00000052958-i05.jpg
case_images: PMC10894075_02_cureus-0016-00000052958-i05.jpg
case_images: FIG5
case_images: Preoperative radiographs of the pelvis (Figure 3), right thigh with the below-knee stump (Figures 4, 5), right forearm (Figures 6, 7), and preoperative CT pelvis (Figures 8-14) were performed.
case_images: X-ray of the right forearm anteroposterior view showing comminuted fracture with acute osteomyelitis of both bone distal forearm right (marked with orange arrow)
case_images: cureus-0016-00000052958-i06.jpg
case_images: PMC10894075_02_cureus-0016-00000052958-i06.jpg
case_images: FIG6
case_images: Preoperative radiographs of the pelvis (Figure 3), right thigh with the below-knee stump (Figures 4, 5), right forearm (Figures 6, 7), and preoperative CT pelvis (Figures 8-14) were performed.
case_images: X-ray of the right forearm lateral view showing comminuted fracture with acute osteomyelitis of both bone distal forearm right (marked with orange arrow)
case_images: cureus-0016-00000052958-i07.jpg
case_images: PMC10894075_02_cureus-0016-00000052958-i07.jpg
case_images: FIG7
case_images: Preoperative radiographs of the pelvis (Figure 3), right thigh with the below-knee stump (Figures 4, 5), right forearm (Figures 6, 7), and preoperative CT pelvis (Figures 8-14) were performed.
case_images: CT pelvis coronal cut view showing pubic symphysis diastasis (marked with green arrow)
case_images: cureus-0016-00000052958-i08.jpg
case_images: PMC10894075_02_cureus-0016-00000052958-i08.jpg
case_images: FIG8
case_images: Preoperative radiographs of the pelvis (Figure 3), right thigh with the below-knee stump (Figures 4, 5), right forearm (Figures 6, 7), and preoperative CT pelvis (Figures 8-14) were performed.
case_images: CT pelvis axial cut view showing pubic symphysis diastasis (2.74 cm)
case_images: cureus-0016-00000052958-i09.jpg
case_images: PMC10894075_02_cureus-0016-00000052958-i09.jpg
case_images: FIG9
case_images: Preoperative radiographs of the pelvis (Figure 3), right thigh with the below-knee stump (Figures 4, 5), right forearm (Figures 6, 7), and preoperative CT pelvis (Figures 8-14) were performed.
case_images: CT pelvis axial cut view showing right sacroiliac joint disruption (marked with green arrows)
case_images: cureus-0016-00000052958-i10.jpg
case_images: PMC10894075_02_cureus-0016-00000052958-i10.jpg
case_images: FIG10
case_images: Preoperative radiographs of the pelvis (Figure 3), right thigh with the below-knee stump (Figures 4, 5), right forearm (Figures 6, 7), and preoperative CT pelvis (Figures 8-14) were performed.
case_images: CT-3D anterior view of pubic symphysis diastasis (marked with blue arrow) and sacroiliac joint disruption right (marked with green arrow)
case_images: cureus-0016-00000052958-i11.jpg
case_images: PMC10894075_02_cureus-0016-00000052958-i11.jpg
case_images: FIG11
case_images: Preoperative radiographs of the pelvis (Figure 3), right thigh with the below-knee stump (Figures 4, 5), right forearm (Figures 6, 7), and preoperative CT pelvis (Figures 8-14) were performed.
case_images: CT-3D posterior view of pubic symphysis diastasis (marked with blue arrow)
case_images: cureus-0016-00000052958-i12.jpg
case_images: PMC10894075_02_cureus-0016-00000052958-i12.jpg
case_images: FIG12
case_images: Preoperative radiographs of the pelvis (Figure 3), right thigh with the below-knee stump (Figures 4, 5), right forearm (Figures 6, 7), and preoperative CT pelvis (Figures 8-14) were performed.
case_images: CT-3D inlet/superior view of pubic symphysis diastasis (marked with blue arrow)
case_images: cureus-0016-00000052958-i13.jpg
case_images: PMC10894075_02_cureus-0016-00000052958-i13.jpg
case_images: FIG13
case_images: Preoperative radiographs of the pelvis (Figure 3), right thigh with the below-knee stump (Figures 4, 5), right forearm (Figures 6, 7), and preoperative CT pelvis (Figures 8-14) were performed.
case_images: CT-3D outlet/inferior view of pubic symphysis diastasis (marked with blue arrow)
case_images: cureus-0016-00000052958-i14.jpg
case_images: PMC10894075_02_cureus-0016-00000052958-i14.jpg
case_images: FIG14
case_images: Preoperative radiographs of the pelvis (Figure 3), right thigh with the below-knee stump (Figures 4, 5), right forearm (Figures 6, 7), and preoperative CT pelvis (Figures 8-14) were performed.
case_images: PMC10894075_03
case_images: Intraoperative image showing pubic symphysis diastasis fixed with plating (marked with blue arrow)
case_images: cureus-0016-00000052958-i15.jpg
case_images: PMC10894075_03_cureus-0016-00000052958-i15.jpg
case_images: FIG15
case_images: The patient underwent surgical management open reduction and internal fixation with plating of the pubic symphysis diastasis and ilio-sacral screw fixation for right sacroiliac joint disruption (Figures 15-17) and wound debridement and external fixator application for 2-month-old comminuted fracture with acute osteomyelitis of both bone distal forearm right (Figure 18) and followed by open reduction and internal fixation with plating of comminuted fracture of both bone distal forearm right after resolution of acute osteomyelitis (Figures 19, 20) and sterile wound management is done for non-healing ulcer in right below knee stump.