The treatment of femoral bone loss by axial external fixation and susbequent locking plate application: a case report
| Autor: | Maria del Amparo Paredes Mogollo, Emanuele Boero |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Soft Tissue Injuries External Fixators medicine.medical_treatment Osteogenesis Distraction Subdural haematoma Thigh medicine.disease_cause Free Tissue Flaps law.invention Weight-bearing Intramedullary rod Weight-Bearing External fixation Closed Fracture Return to Work law Fracture Fixation Medicine Humans Femur General Environmental Science business.industry Accidents Traffic Femoral fracture Recovery of Function Plastic Surgery Procedures musculoskeletal system medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Fractures Ununited General Earth and Planetary Sciences business Bone Plates Femoral Fractures |
| Zdroj: | Injury. 46 |
| ISSN: | 1879-0267 |
| Popis: | A 20-year-old man was admitted to our hospital having sustianed bilateral high-energy femoral fractures. The right femoral fracture was an open grade 3B with OTA grade 3 bone loss. The patient had also a brain contusion with a subdural haematoma and a closed fracture of the left clavicle. Initial management included temporarily stabilisation of the femoral fractures wth external fixators and prompt transfer to the intensive care unit. Three weeks later the external fixator of the right femur was converted to an hybrid system, and the fixator of the left side was removed and a reamed intramedullary locking nail was applied. Two months after the accident the patient underwent bone transport (11 cm long) of the right femur with an monolateral external fixation. When the final length was achieved there were knee stiffness (ROM 0° to 30°) and non-union of the docking site. Therefore, the patient underwent a Judet's procedure to treat the knee stiffness and stabilisation of the non united femur with a locking plate (LISS). After the operation the patient started progressive weight bearing. A year after trauma and following union of the femur, the patient underwent soft tissue reconstruction of the anterior side of the thigh with a free vascularised flap. At final follow upo the patient had a good functional recovery with return to his previous occupation. |
| Databáze: | OpenAIRE |
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