Department of Trauma and Orthopaedics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
University of Edinburgh Division of Clinical and Surgical Sciences, Edinburgh, UK.
BMJ Case Rep. 2022 Jan 3;15(1):e246581. doi: 10.1136/bcr-2021-246581.
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.
我们报告了 1 例高龄合并多种疾病的患者，该患者拟行髓内钉固定术治疗股骨颈骨折，但由于患者身体状况不佳，手术被推迟了 3 周。患者被放置在牵引台上，在牵引台上进行复位时发生了耻骨上、下支骨折。使用牵引台和会阴部固定柱进行闭合复位技术并非没有并发症。在处理这类复杂且通常脆弱的患者时，应考虑骨质疏松症和延迟固定等风险因素。
