Proximal tibia and fibula fragility fracture complicated by anticoagulation and demand-mediated myocardial infarction.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 23569680.
- Also identified by DOI 10.1177/2151458511412167 and PMC identifier 3597308.
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Abstract
We present for discussion a case of a right displaced proximal metaphyseal tibial fracture with intraarticular extension and a same-level proximal fibula fracture with severe degenerative arthritis in a medically complex 89 year old community dwelling woman with a history of paroxysmal atrial fibrillation, right lower extremity deep venous thrombosis 1 month prior to this admission on warfarin, obesity, peripheral vascular disease, and previous stroke. Her course is complicated by demand-mediated myocardial infarction. This case demonstrates that comanagement can lead to minimal delays and a satisfactory outcome in a complex, high-risk patient.
Anatomy
- tibia