ArticleJournal of orthopaedic case reports2026
Generalized Tetanus Following Traditional Manipulation of an Open Supracondylar Humerus Fracture in a Child: A Rare Case Report.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Tetanus is an uncommon but potentially life-threatening infection in the era of widespread immunization. However, it continues to occur in developing regions, particularly following contaminated injuries and delayed access to appropriate medical care. We report a rare case of generalized tetanus developing after traditional manipulation of an open supracondylar humerus fracture in a child. Case Report: A 12-year-old boy sustained an open supracondylar fracture of the right humerus following trauma. Before receiving definitive treatment, local manipulation and massage of the injured limb were performed. Initial management at another healthcare facility included wound dressing and Kirschner wire fixation. Subsequently, the child presented to our tertiary care center with severe pain, trismus, and generalized muscle spasms consistent with generalized tetanus. He was admitted to the pediatric intensive care unit and managed with human tetanus immunoglobulin, intravenous metronidazole, diazepam-based spasm control, supportive care, and orthopedic supervision. During hospitalization, he developed autonomic instability characterized by labile hypertension and tachycardia, which was managed medically. He did not require mechanical ventilation. During the course of treatment, the fixation wires loosened and were displaced. Revision surgery and debridement were advised; however, consent was declined by the parents. Conservative treatment was therefore continued. After approximately 2 months of hospitalization, the patient recovered from tetanus, the wound healed satisfactorily, and the fracture united with malunion. Conclusion: This case highlights the ongoing risk of tetanus following contaminated open fractures, particularly when definitive treatment is delayed, and traditional manipulation is undertaken. Early wound management, appropriate tetanus prophylaxis, timely surgical intervention, and public awareness regarding the hazards of untrained fracture treatment remain essential to prevent such potentially fatal complications.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.