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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ftviamedicaojs:oai:czasopisma.viamedica.pl:article/54875 2023-05-15T14:02:00+02:00 Non-operative management of a patella fracture: environmental considerations in the Subantarctic Gould, Fraser John 2017-09-27 application/pdf application/xhtml+xml https://journals.viamedica.pl/international_maritime_health/article/view/IMH.2017.0028 https://doi.org/10.5603/IMH.2017.0028 en eng Via Medica Completion of the online submission form electronically is tantamount to automatically and free-of-charge transferring of the copyright for publishing and distribution of the submitted material (in all known now and developed in the future forms and fields of exploitation) to the Owner, i.e. International Maritime Health Foundation, under condition that those materials are accepted for publication. The authors agree not to publish any data or figures presented in their work anywhere and in any language without the prior written consent of the owner of the copyrights, i.e. the Owner. Legal relations between the Publisher and the author(s) are in accordance with Polish law and with international conventions binding to Poland. The legal bases to acquiring the copyright are article 921 section copyright law and related law as well as the international conventions binding to Poland. International Maritime Health; Vol 68, No 3 (2017); 159-162 knee South Georgia remote evacuation 2017 ftviamedicaojs https://doi.org/10.5603/IMH.2017.0028 2019-03-25T12:56:52Z 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. Other/Unknown Material Antarc* Antarctic Arctocephalus gazella British Antarctic Survey Via Medica Journals Antarctic International Maritime Health 68 3 159 162 |
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Via Medica Journals |
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ftviamedicaojs |
language |
English |
topic |
knee South Georgia remote evacuation |
spellingShingle |
knee South Georgia remote evacuation Gould, Fraser John Non-operative management of a patella fracture: environmental considerations in the Subantarctic |
topic_facet |
knee South Georgia remote evacuation |
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. |
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 |
publisher |
Via Medica |
publishDate |
2017 |
url |
https://journals.viamedica.pl/international_maritime_health/article/view/IMH.2017.0028 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_source |
International Maritime Health; Vol 68, No 3 (2017); 159-162 |
op_rights |
Completion of the online submission form electronically is tantamount to automatically and free-of-charge transferring of the copyright for publishing and distribution of the submitted material (in all known now and developed in the future forms and fields of exploitation) to the Owner, i.e. International Maritime Health Foundation, under condition that those materials are accepted for publication. The authors agree not to publish any data or figures presented in their work anywhere and in any language without the prior written consent of the owner of the copyrights, i.e. the Owner. Legal relations between the Publisher and the author(s) are in accordance with Polish law and with international conventions binding to Poland. The legal bases to acquiring the copyright are article 921 section copyright law and related law as well as the international conventions binding to Poland. |
op_doi |
https://doi.org/10.5603/IMH.2017.0028 |
container_title |
International Maritime Health |
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68 |
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3 |
container_start_page |
159 |
op_container_end_page |
162 |
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