Fracture of pubic rami during hip fracture fixation: a rare case of traction table-related injury.

Autor: Gomindes A; Department of Trauma and Orthopaedics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK Austin.gomindes@nhs.net.; University of Edinburgh Division of Clinical and Surgical Sciences, Edinburgh, UK., Remtulla M; Department of Trauma and Orthopaedics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK., Cooper J; Department of Trauma and Orthopaedics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK., Nikolaides AP; Department of Trauma and Orthopaedics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2022 Jan 03; Vol. 15 (1). Date of Electronic Publication: 2022 Jan 03.
DOI: 10.1136/bcr-2021-246581
Abstrakt: We present a case of an elderly and comorbid patient who was scheduled to undergo a hip fracture fixation using an intramedullary nail. Unfortunately, this was delayed by 3 weeks as the patient was unfit to undergo this procedure. She was placed onto the traction table and intraoperatively sustained a superior and inferior pubic rami fracture while attempting reduction on the traction table. Closed-reduction techniques using traction tables and perineal posts are not without morbidity. Risk factors such as osteoporosis and delayed-fixation should be accounted for when managing this complex and often frail group of patients.
Competing Interests: Competing interests: None declared.
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Databáze: MEDLINE