一期手术治疗双侧转子间骨折的两例罕见病例——病例报告
Two Very Rare Case of Simultaneous Bilateral Intertrochanteric Fracture Operated in Single Stage - A Case Report.
作者信息
Kumar Sachin, Thakur Rajesh, Mane Akash, Wooly Sameer, Sarkar Somit
机构信息
Department of Orthopedics, Manipal Tata Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Joint Replacement and Orthopedics, Tata Main Hospital, Jamshedpur, Jharkhand, India.
出版信息
J Orthop Case Rep. 2024 Jun;14(6):6-11. doi: 10.13107/jocr.2024.v14.i06.4484.
INTRODUCTION
Unilateral intertrochanteric fractures are common injuries in elderly population. Simultaneous bilateral intertrochanteric fractures do occur but are very rare and only a few cases have been reported in the literature.
CASE REPORT
We report two cases with different modes of injury. Both cases were fixed in a single stage by proximal femoral nailing (PFN). The first case had multiple comorbidities and after 6 weeks of follow up, she suddenly expired at home due to medical issue. The second case is the only case reported with associated bilateral superior and inferior pubic rami fracture. PFN was done in a single stage and at 1-year follow-up, the patient was having a good functional outcome.
CONCLUSION
Simultaneous bilateral intertrochanteric fractures are very rare injuries but these are potentially life-threatening with high morbidity. Quick assessment and early single-stage stabilization with proximal femoral nail give stable fixation and good functional outcome.
引言
单侧转子间骨折是老年人群中的常见损伤。双侧转子间同时骨折确实会发生，但非常罕见，文献中仅报道了少数病例。
病例报告
我们报告两例损伤方式不同的病例。两例均通过股骨近端髓内钉（PFN）进行一期固定。第一例有多种合并症，随访6周后，她因医疗问题在家中突然死亡。第二例是唯一报道的合并双侧耻骨上下支骨折的病例。PFN一期完成，随访1年时，患者功能恢复良好。
结论
双侧转子间同时骨折是非常罕见的损伤，但这些损伤具有潜在的生命威胁，发病率高。快速评估并早期用股骨近端髓内钉进行一期稳定固定可提供稳定的固定并获得良好的功能结果。
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