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Case ReportCASE REPORTS AND CLINICAL OBSERVATIONS
Open Access

Lower Extremity Salvage in a Diabetic Patient With Cutaneous Mucormycosis and COVID-19 After Open Patella Fracture

Danny A. S. Hammoudi, Malika M. Morar, Anna Garbuzov, Daniel Urias and Kristopher M. Katira
Ochsner Journal June 2022, 22 (2) 163-168; DOI: https://doi.org/10.31486/toj.21.0099
Danny A. S. Hammoudi
1The University of Queensland Medical School, Ochsner Clinical School, New Orleans, LA
MD
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Malika M. Morar
1The University of Queensland Medical School, Ochsner Clinical School, New Orleans, LA
MD
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Anna Garbuzov
1The University of Queensland Medical School, Ochsner Clinical School, New Orleans, LA
MD
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Daniel Urias
2Department of Plastic Surgery, Intermountain Medical Center, Murray, UT
MD
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Kristopher M. Katira
2Department of Plastic Surgery, Intermountain Medical Center, Murray, UT
3Department of Plastic Surgery, Tulane University, New Orleans, LA
MD
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  • For correspondence: kmk3361{at}gmail.com
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Article Figures & Data

Figures

  • Figure 1.
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    Figure 1.

    Cable screw construct for internal fixation of a transverse patella fracture before and after wire removal.

  • Figure 2.
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    Figure 2.

    Incisional dehiscence after initial open reduction and internal fixation.

  • Figure 3.
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    Figure 3.

    Repeat dehiscence after washout and wire removal.

  • Figure 4.
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    Figure 4.

    Cellulitis noted on magnetic resonance imaging corresponds with the wound shown in Figure 3.

  • Figure 5.
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    Figure 5.

    Patella exposure after fasciocutaneous flap elevation and complex closure. Wide skin discoloration surrounds the lower two-thirds of the knee incision.

  • Figure 6.
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    Figure 6.

    The genicular vessels were exposed along the medial thigh for free tissue transfer. The saphenous nerve was preserved.

  • Figure 7.
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    Figure 7.

    Anterolateral thigh free flap closure of knee wound after radical debridement of soft tissues.

  • Figure 8.
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    Figure 8.

    Topical antifungals were placed along the flap incision lines to facilitate healing in the postoperative period.

  • Figure 9.
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    Figure 9.

    The flap was healing well 4 months after transfer. The patient demonstrated knee range of motion and used compression therapy for edema control.

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Ochsner Journal: 22 (2)
Ochsner Journal
Vol. 22, Issue 2
Jun 2022
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Lower Extremity Salvage in a Diabetic Patient With Cutaneous Mucormycosis and COVID-19 After Open Patella Fracture
Danny A. S. Hammoudi, Malika M. Morar, Anna Garbuzov, Daniel Urias, Kristopher M. Katira
Ochsner Journal Jun 2022, 22 (2) 163-168; DOI: 10.31486/toj.21.0099

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Lower Extremity Salvage in a Diabetic Patient With Cutaneous Mucormycosis and COVID-19 After Open Patella Fracture
Danny A. S. Hammoudi, Malika M. Morar, Anna Garbuzov, Daniel Urias, Kristopher M. Katira
Ochsner Journal Jun 2022, 22 (2) 163-168; DOI: 10.31486/toj.21.0099
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Keywords

  • COVID-19
  • Diabetes mellitus
  • extremities
  • free tissue flaps
  • mucormycosis
  • patella
  • reconstructive surgical procedures

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