Interesting educational case : ๐งต
#orthotwitter
Active older patient, trauma.
Segmental open femur fracture with ipsilateral non-displaced transverse acetabular fracture
#orthotwitter
Active older patient, trauma.
Segmental open femur fracture with ipsilateral non-displaced transverse acetabular fracture
Acetabulum managed non-op and femur treated with rIMN.
Surgeon had HIGH index of suspicion for ipsilateral femoral neck fracture.
CT negative / intra-op fluoro negative for fracture of the femoral neck
Surgeon had HIGH index of suspicion for ipsilateral femoral neck fracture.
CT negative / intra-op fluoro negative for fracture of the femoral neck
Patient returns to surg 4 weeks with femoral neck fracture
Femoral neck fractures have been reported to be associated with femoral shaft fractures 2-9% of the time. Maintain a high index of suspicion always.
Femoral neck fractures have been reported to be associated with femoral shaft fractures 2-9% of the time. Maintain a high index of suspicion always.
I was called: concerns were acetabular fracture, high dislocation risk, management of femur fracture, concerns for femoral rotation.
Depending on implant choice - management of stress risers.
Depending on implant choice - management of stress risers.
We used a revision style cup that allowed for locking screws to treat acetabular fracture.
Exchange nailing for management of segmental femur w/ shorter rIMN.
DM to mitigate higher dislocation concerns.
Plate to bridge stress riser.
Exchange nailing for management of segmental femur w/ shorter rIMN.
DM to mitigate higher dislocation concerns.
Plate to bridge stress riser.
Discussion?
We discussed hemi but concern over protrusio
Discussed full length femur plate, but nail would allow earlier mobilization.
@NaanDerthaal @CenterRotation @hugortopedista @DrLeeRubin @EdinburghKnee @jaimelbellamyDO @DrChadKrueger @Dr_Stambough @semarwinmd
We discussed hemi but concern over protrusio
Discussed full length femur plate, but nail would allow earlier mobilization.
@NaanDerthaal @CenterRotation @hugortopedista @DrLeeRubin @EdinburghKnee @jaimelbellamyDO @DrChadKrueger @Dr_Stambough @semarwinmd
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