Non-operative management of a patella fracture: environmental considerations in the Subantarctic
Injuries occurring in the remote environment present particular challenges to healthcare professionals, and decisions need to be carefully made on an individual basis. This report describes the successful management of a patella fracture sustained on the Subantarctic island of South Georgia. A 36-ye...
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ftnerc:oai:nora.nerc.ac.uk:518002 2023-05-15T13:49:34+02:00 Non-operative management of a patella fracture: environmental considerations in the Subantarctic Gould, Fraser John 2017-09 text http://nora.nerc.ac.uk/id/eprint/518002/ https://nora.nerc.ac.uk/id/eprint/518002/1/54875-134425-1-PB.pdf https://doi.org/10.5603/IMH.2017.0028 en eng https://nora.nerc.ac.uk/id/eprint/518002/1/54875-134425-1-PB.pdf Gould, Fraser John. 2017 Non-operative management of a patella fracture: environmental considerations in the Subantarctic. International Maritime Health, 68 (3). 159-162. https://doi.org/10.5603/IMH.2017.0028 <https://doi.org/10.5603/IMH.2017.0028> Medicine Publication - Article PeerReviewed 2017 ftnerc https://doi.org/10.5603/IMH.2017.0028 2023-02-04T19:45:27Z Injuries occurring in the remote environment present particular challenges to healthcare professionals, and decisions need to be carefully made on an individual basis. This report describes the successful management of a patella fracture sustained on the Subantarctic island of South Georgia. A 36-year-old boating officer presented to the island surgery after sustaining an isolated closed injury to his left knee. On physical examination there was a large effusion palpable within the joint, and on subsequent radiography an undisplaced transverse fracture of the patella was apparent. The patient had an intact and competent extensor mechanism, and fulfilled indications for non-operative management. His clinical case was discussed with supervising consultants at the British Antarctic Survey Medical Unit in the United Kingdom, and radiographs forwarded electronically for an orthopaedic review. The decision was made to undertake medical evacuation of the patient. There were additional environmental factors to be considered in this situation. The terrain on South Georgia is rugged and unforgiving, there is a risk of injury posed by the local fauna (Arctocephalus gazella) during summer months, and emergency evacuation from the base would be difficult for any person with restricted mobility. A planned retrieval enabled our patient to continue rehabilitation and physiotherapy in the preferrential setting of his home country, without causing undue delay in time taken returning to work in this remote location. Article in Journal/Newspaper Antarc* Antarctic Arctocephalus gazella British Antarctic Survey Natural Environment Research Council: NERC Open Research Archive Antarctic International Maritime Health 68 3 159 162 |
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Open Polar |
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Natural Environment Research Council: NERC Open Research Archive |
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ftnerc |
language |
English |
topic |
Medicine |
spellingShingle |
Medicine Gould, Fraser John Non-operative management of a patella fracture: environmental considerations in the Subantarctic |
topic_facet |
Medicine |
description |
Injuries occurring in the remote environment present particular challenges to healthcare professionals, and decisions need to be carefully made on an individual basis. This report describes the successful management of a patella fracture sustained on the Subantarctic island of South Georgia. A 36-year-old boating officer presented to the island surgery after sustaining an isolated closed injury to his left knee. On physical examination there was a large effusion palpable within the joint, and on subsequent radiography an undisplaced transverse fracture of the patella was apparent. The patient had an intact and competent extensor mechanism, and fulfilled indications for non-operative management. His clinical case was discussed with supervising consultants at the British Antarctic Survey Medical Unit in the United Kingdom, and radiographs forwarded electronically for an orthopaedic review. The decision was made to undertake medical evacuation of the patient. There were additional environmental factors to be considered in this situation. The terrain on South Georgia is rugged and unforgiving, there is a risk of injury posed by the local fauna (Arctocephalus gazella) during summer months, and emergency evacuation from the base would be difficult for any person with restricted mobility. A planned retrieval enabled our patient to continue rehabilitation and physiotherapy in the preferrential setting of his home country, without causing undue delay in time taken returning to work in this remote location. |
format |
Article in Journal/Newspaper |
author |
Gould, Fraser John |
author_facet |
Gould, Fraser John |
author_sort |
Gould, Fraser John |
title |
Non-operative management of a patella fracture: environmental considerations in the Subantarctic |
title_short |
Non-operative management of a patella fracture: environmental considerations in the Subantarctic |
title_full |
Non-operative management of a patella fracture: environmental considerations in the Subantarctic |
title_fullStr |
Non-operative management of a patella fracture: environmental considerations in the Subantarctic |
title_full_unstemmed |
Non-operative management of a patella fracture: environmental considerations in the Subantarctic |
title_sort |
non-operative management of a patella fracture: environmental considerations in the subantarctic |
publishDate |
2017 |
url |
http://nora.nerc.ac.uk/id/eprint/518002/ https://nora.nerc.ac.uk/id/eprint/518002/1/54875-134425-1-PB.pdf https://doi.org/10.5603/IMH.2017.0028 |
geographic |
Antarctic |
geographic_facet |
Antarctic |
genre |
Antarc* Antarctic Arctocephalus gazella British Antarctic Survey |
genre_facet |
Antarc* Antarctic Arctocephalus gazella British Antarctic Survey |
op_relation |
https://nora.nerc.ac.uk/id/eprint/518002/1/54875-134425-1-PB.pdf Gould, Fraser John. 2017 Non-operative management of a patella fracture: environmental considerations in the Subantarctic. International Maritime Health, 68 (3). 159-162. https://doi.org/10.5603/IMH.2017.0028 <https://doi.org/10.5603/IMH.2017.0028> |
op_doi |
https://doi.org/10.5603/IMH.2017.0028 |
container_title |
International Maritime Health |
container_volume |
68 |
container_issue |
3 |
container_start_page |
159 |
op_container_end_page |
162 |
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