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同侧粗隆间骨折与股骨干骨折合并跖骨骨折:一种罕见的表现。

Ipsilateral Concomitant Intertrochanteric and Femoral Shaft Fractures Associated With Metatarsal Bone Fractures: An Unusual Presentation.

作者信息

Ismail Ahmed A, Alzahrani Abdulkrim S, Alanazi Majed A, Mousa Aishah M, Shaikh Dania T

机构信息

Orthopedic Surgery, King Fahad General Hospital, Jeddah, SAU.

Critical Care, Qurayat General Hospital, Qurayat, SAU.

出版信息

Cureus. 2022 Nov 29;14(11):e32032. doi: 10.7759/cureus.32032. eCollection 2022 Nov.

Abstract

Concomitant ipsilateral intertrochanteric and femoral shaft fractures with metatarsal bone fractures in young adults are extremely rare, and there are only a few reports regarding these fractures in the literature. High-energy trauma is a well-known attributable factor for this type of fracture. In this report, we presented a rare case of ipsilateral intertrochanteric and femoral shaft fractures with metatarsal bone (MTB) fractures in a 42-year-old male patient who was a victim of a road traffic accident (RTA). He was managed by closed fracture reduction and fixation with gamma nails, lag and locking screws, and K-wires. This particular combination of fractures is scarce. Reporting such a case to orthopedic surgeons is useful for management since these injuries present technical and infrastructural challenges, especially in resource-limited hospitals.

摘要

年轻成人中同侧粗隆间骨折、股骨干骨折合并跖骨骨折极为罕见,文献中关于此类骨折的报道仅有几例。高能创伤是这类骨折众所周知的归因因素。在本报告中,我们呈现了一例罕见病例,一名42岁男性患者因道路交通事故(RTA)受伤,出现同侧粗隆间骨折、股骨干骨折合并跖骨骨折。他接受了闭合性骨折复位,并用伽马钉、拉力螺钉和锁定螺钉以及克氏针进行固定。这种特殊的骨折组合很罕见。向骨科医生报告此类病例对治疗很有帮助,因为这些损伤带来了技术和基础设施方面的挑战,尤其是在资源有限的医院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfeb/9800853/acb12d94cb41/cureus-0014-00000032032-i01.jpg

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