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Case Report 


A case report of a high voltage electrical injury: Lower limb Salvage with age-old technique of bone trephination and Split-thickness skin grafting

Hardik Dodia, Pankaj Pandor, M. F. Shaikh, Jayesh Sachde, Manav Suri.

Abstract
Introduction: Electrical injuries make up a relatively small portion of burn injuries. In electrical burns limb damage is severe. Open wounds with bone exposed should be debrided properly and attempt of drilling can be given if no coverage option available.

Case report : We present the case of a middle aged woman who sustained a high voltage electrical injury on left upper limb and left lower limb. Amputation of left upper limb was done with should disarticulation and subclavian ligation. In the lower limb almost whole length of tibia was exposed which was drilled and surrounding area was debrided and then regulary dressed with saline dressing. Follow up 3 months of saline dressing and then wound was grafted and limb was saved.
Conclusion: Open wounds with exposed bones should be debrided properly and attempt of drilling can be given if no coverage option available. It is also an option when patient is high risk for surgery. It can be done under local or no anesthesia. Regular dressing and local debridement and maintaining proper Hemoglobin and protein throughout can help early wound closure.

Key words: high voltage electrical injury, limb salvage, bone drilling, bone trephination, STG over bone, Shoulder disarticulation,


 
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How to Cite this Article
Pubmed Style

Dodia H, Pandor P, Shaikh MF, Sachde J, Suri M. A case report of a high voltage electrical injury: Lower limb Salvage with age-old technique of bone trephination and Split-thickness skin grafting. Int J Med Rev Case Rep. 2018; 2(4): 109-112. doi:10.5455/IJMRCR.Lower-imb-Salvage


Web Style

Dodia H, Pandor P, Shaikh MF, Sachde J, Suri M. A case report of a high voltage electrical injury: Lower limb Salvage with age-old technique of bone trephination and Split-thickness skin grafting. http://mdpub.net/?mno=298704 [Access: January 19, 2019]. doi:10.5455/IJMRCR.Lower-imb-Salvage


AMA (American Medical Association) Style

Dodia H, Pandor P, Shaikh MF, Sachde J, Suri M. A case report of a high voltage electrical injury: Lower limb Salvage with age-old technique of bone trephination and Split-thickness skin grafting. Int J Med Rev Case Rep. 2018; 2(4): 109-112. doi:10.5455/IJMRCR.Lower-imb-Salvage



Vancouver/ICMJE Style

Dodia H, Pandor P, Shaikh MF, Sachde J, Suri M. A case report of a high voltage electrical injury: Lower limb Salvage with age-old technique of bone trephination and Split-thickness skin grafting. Int J Med Rev Case Rep. (2018), [cited January 19, 2019]; 2(4): 109-112. doi:10.5455/IJMRCR.Lower-imb-Salvage



Harvard Style

Dodia, H., Pandor, . P., Shaikh, . M. F., Sachde, . J. & Suri, . M. (2018) A case report of a high voltage electrical injury: Lower limb Salvage with age-old technique of bone trephination and Split-thickness skin grafting. Int J Med Rev Case Rep, 2 (4), 109-112. doi:10.5455/IJMRCR.Lower-imb-Salvage



Turabian Style

Dodia, Hardik, Pankaj Pandor, M. F. Shaikh, Jayesh Sachde, and Manav Suri. 2018. A case report of a high voltage electrical injury: Lower limb Salvage with age-old technique of bone trephination and Split-thickness skin grafting. International Journal of Medical Reviews and Case Reports, 2 (4), 109-112. doi:10.5455/IJMRCR.Lower-imb-Salvage



Chicago Style

Dodia, Hardik, Pankaj Pandor, M. F. Shaikh, Jayesh Sachde, and Manav Suri. "A case report of a high voltage electrical injury: Lower limb Salvage with age-old technique of bone trephination and Split-thickness skin grafting." International Journal of Medical Reviews and Case Reports 2 (2018), 109-112. doi:10.5455/IJMRCR.Lower-imb-Salvage



MLA (The Modern Language Association) Style

Dodia, Hardik, Pankaj Pandor, M. F. Shaikh, Jayesh Sachde, and Manav Suri. "A case report of a high voltage electrical injury: Lower limb Salvage with age-old technique of bone trephination and Split-thickness skin grafting." International Journal of Medical Reviews and Case Reports 2.4 (2018), 109-112. Print. doi:10.5455/IJMRCR.Lower-imb-Salvage



APA (American Psychological Association) Style

Dodia, H., Pandor, . P., Shaikh, . M. F., Sachde, . J. & Suri, . M. (2018) A case report of a high voltage electrical injury: Lower limb Salvage with age-old technique of bone trephination and Split-thickness skin grafting. International Journal of Medical Reviews and Case Reports, 2 (4), 109-112. doi:10.5455/IJMRCR.Lower-imb-Salvage