Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee Amputee
While diaphyseal femoral shaft fractures are common, it is uncommon to see this injury in leg amputees. Traditionally, these fractures are internally fixed using a fracture table with reduction obtained by traction and adequate rotation exerted on a slightly abducted extremity. Special consideration...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2019/8691398 |
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| author | Stefan Mitrasinovic Georgios Kiziridis Shauni Wellekens Charline Roslee Syed Neshat Anjum |
| author_facet | Stefan Mitrasinovic Georgios Kiziridis Shauni Wellekens Charline Roslee Syed Neshat Anjum |
| author_sort | Stefan Mitrasinovic |
| collection | DOAJ |
| description | While diaphyseal femoral shaft fractures are common, it is uncommon to see this injury in leg amputees. Traditionally, these fractures are internally fixed using a fracture table with reduction obtained by traction and adequate rotation exerted on a slightly abducted extremity. Special considerations need to be given in the management of patients with leg amputations. We report the case of a 24-year-old gentleman with bilateral diaphyseal femoral shaft fractures and a previous right below-knee amputation, who was transferred to our centre following a road traffic collision. We highlight important planning that needs to be undertaken for appropriate positioning, ease of reduction, and fracture fixation. We have reviewed the literature to highlight the methods that have been previously described and our use of skeletal traction through the amputation stump that can be utilised by other surgeons in challenging situations like this. |
| format | Article |
| id | doaj-art-ced3ef1c86a84a8294f1fefe57491bc2 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-ced3ef1c86a84a8294f1fefe57491bc22025-02-03T01:06:54ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/86913988691398Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee AmputeeStefan Mitrasinovic0Georgios Kiziridis1Shauni Wellekens2Charline Roslee3Syed Neshat Anjum4Department of Orthopaedics, Southampton General Hospital, Tremona Road, Southampton, UKDepartment of Orthopaedics, Southampton General Hospital, Tremona Road, Southampton, UKUniversity College London Medical School, Gower Street, London, UKDepartment of Orthopaedics, Southampton General Hospital, Tremona Road, Southampton, UKDepartment of Orthopaedics, Southampton General Hospital, Tremona Road, Southampton, UKWhile diaphyseal femoral shaft fractures are common, it is uncommon to see this injury in leg amputees. Traditionally, these fractures are internally fixed using a fracture table with reduction obtained by traction and adequate rotation exerted on a slightly abducted extremity. Special considerations need to be given in the management of patients with leg amputations. We report the case of a 24-year-old gentleman with bilateral diaphyseal femoral shaft fractures and a previous right below-knee amputation, who was transferred to our centre following a road traffic collision. We highlight important planning that needs to be undertaken for appropriate positioning, ease of reduction, and fracture fixation. We have reviewed the literature to highlight the methods that have been previously described and our use of skeletal traction through the amputation stump that can be utilised by other surgeons in challenging situations like this.http://dx.doi.org/10.1155/2019/8691398 |
| spellingShingle | Stefan Mitrasinovic Georgios Kiziridis Shauni Wellekens Charline Roslee Syed Neshat Anjum Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee Amputee Case Reports in Orthopedics |
| title | Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee Amputee |
| title_full | Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee Amputee |
| title_fullStr | Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee Amputee |
| title_full_unstemmed | Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee Amputee |
| title_short | Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee Amputee |
| title_sort | innovative method of traction in a bilateral diaphyseal femur fracture in a polytrauma below knee amputee |
| url | http://dx.doi.org/10.1155/2019/8691398 |
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