A 28-year-old woman suffered a forearm bone fracture due to a physical assault

Diagnosis: Fracture shaft of Ulna

Name of Operation: ORIF with DCP

Anaesthesia: Brachial Block

A 6 years old boy fell from tree and developed severe elbow pain & swelling.

Diagnosis: Supracondylar fracture of Humerus

Name of Operation: ORIF with K-wire

Anaesthesia: GA

A 23 years old female broke her forearm bones 9 months ago. She was operated with Plate-screw then. But unfortunately after surgery she had Surgical Site Infection. After 2 months her forearm began to deform. She had weakness on left upper limb, limitation of wrist movements. With these complaints she came to us.

After getting X-ray it was obvious that she had infected non-union. She was counselled about her condition, proposed treatment plans and probable outcomes.

She was operated under General Anaesthesia (GA). There was profuse infection, pus in both forearm bone. Surgical Toileting, Refreshening of Fracture site, Fixation with Locking Plate with Autogenous cortico-cancellous bone grafting was done.

Her post-operative period was uneventful. Though after 21 days of surgery she developed swelling over front of forearm. She was treated with antibiotic.

We are looking forward for union of bones. This case was challenging. Still now there are strong challenges of infection and union.

A 12 year old boy was suffering from pain in his left arm. Pain was initially mild in nature but intensity was increasing day by day. Pain was aggravated on movement and relieved by taking medication (aspirin). There was mild diffuse swelling and tenderness of mid left arm on anteroom-medial aspect. Elbow movement was restricted. He was treated initially with painkillers.

On X-ray there was an osteolytic lesion over mid-arm. Provisional diagnosed was Osteoid Osteoma with Differentials like Brodies abscess, Fibrous cortical defect, Fibrous Dysplasia, Simple bone cyst (SBC).

He was scheduled for surgery after preanesthetic evaluation. Excision & curettage was done under fluoroscopic guidance. Tissue was sent for histopathological examination.

A 65 years old male was enjoying his morning tea on a tea stall . Suddenly a tree fallen over the stall. He tried to defend with his forearm. Luckily he didn’t fractured his forearm. But he developed a devolving injury over his left forearm. Wound was around 14 inch long, wide open with visuals of underneath vessels, nerves, fascia and muscles. He got some traditional treatment.

Patient was hypertensive, non-diabetic. Wound was contaminated.

After proper evaluation, he underwent emergency surgery. Surgical toileting, debridement and primary closure was done.

Proper dressing was done regularly and stitch was removed at 14 days. Wound was overall in good condition and the flap survived.