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双侧股骨干骨折漏诊——病例报告

Neglected Bilateral Shaft Femur Fracture - - A Case Report.

作者信息

Lakhani Karan R, Chaudhary Sumedh D, Sakharkar Nilesh S, Phuphate Akshay, Tawri Pratik, Jogani Abhinav

机构信息

Department of Orthopaedics, Government Medical College and Hospital, Nagpur, Maharashtra, India.

出版信息

J Orthop Case Rep. 2024 Dec;14(12):93-97. doi: 10.13107/jocr.2024.v14.i12.5032.

Abstract

INTRODUCTION

Most patients with these injuries are taken to hospitals frequently for specialized orthopedic treatment. However, because quackery is a common practice in the many regions, it is common in underdeveloped nations, particularly in rural India, for these injuries to be initially overlooked. This study aimed to assess the efficacy of open intramedullary nailing in the treatment of patients with neglected bilateral fracture shaft femurs in terms of union achievement and functional outcomes.

CASE REPORT

The first presentation was a 27-year-old male patient with bilateral untreated malunited shaft femur fractures that had occurred 10 months prior. The patient had a history of a car accident that resulted in bilateral shaft femur fractures. We aimed to treat both fractures simultaneously in a single setting with open reduction and femoral nailing. The patient has followed up for 10 months after surgery with full weight bear walking without support and can sit cross legged and squat.

CONCLUSION

The prognosis is typically poorer for neglected femoral shaft fractures than for those that are treated immediately. Any surgeon who works in low facilities setting needs to be aware of difficulties in the management of neglected or non-union shaft femur fracture.

摘要

引言

大多数此类损伤患者常被送往医院接受专业的骨科治疗。然而,由于江湖医术在许多地区很常见,在不发达国家,尤其是印度农村地区,这些损伤最初常被忽视。本研究旨在评估切开髓内钉固定术在治疗被忽视的双侧股骨干骨折患者方面在骨折愈合和功能结果方面的疗效。

病例报告

首例患者为一名27岁男性,双侧股骨干骨折未治疗且畸形愈合,骨折发生在10个月前。该患者有车祸史,导致双侧股骨干骨折。我们旨在通过切开复位和股骨钉固定在一次手术中同时治疗双侧骨折。患者术后随访10个月,无需支撑可完全负重行走,并且能够盘腿而坐和深蹲。

结论

被忽视的股骨干骨折的预后通常比立即治疗的骨折更差。任何在低水平医疗设施环境中工作的外科医生都需要意识到处理被忽视或不愈合的股骨干骨折的困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0b6/11632483/577b69eac899/JOCR-14-93-g001.jpg

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