Τίτλος:
Double fractures of the femur: a review of 16 patients
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background: Double ipsilateral femoral fractures account for 1–9% of femoral fractures. There is no clear advantage between single or double implant osteosynthesis. We present a series of patients with double ipsilateral femoral fractures, to address the challenges in treatment, namely the implants for osteosynthesis and complications of treatment. Materials and methods: We retrospectively studied 16 patients (7 men, 9 women; mean age, 51 years) treated from January 2015 to December 2018. Motor vehicle accidents were the leading cause of injury. Types of fractures were pertrochanteric and shaft (6), pertrochanteric and distal (2), double shaft (3), neck and shaft (2), neck and distal (1), shaft and distal (1), and triple fracture including a pertrochanteric, shaft and distal (1). In five patients, two different implants were used (plate and screws, cannulated hip screws, femoral nail), whereas in 11 patients a long femoral nail was used. Results: Fourteen patients experienced union at a mean of 3 months (2–6 months). Two patients experienced nonunion: both had plate and screws osteosynthesis. One patient died 15 days after admission from polytrauma and another patient experienced central venous catheter thrombosis and pneumonia. Surgical complications (2 patients) included a thigh skin necrosis, and external fixator pin tract infection/infected non-union. Weight-bearing was delayed in all patients; full weight-bearing was allowed in 11 patients at 4 months postoperatively, and in four patients at 5 months. Conclusion: Due to the rarity and the difficulty of standardization of double ipsilateral femoral fractures, there is variable information on the optimal osteosynthesis of the fractures and the outcome of the patients. It seems that closed reduction and long hip nailing is the treatment of choice, with few complications. © 2021, The Author(s), under exclusive licence to Springer-Verlag France SAS part of Springer Nature.
Συγγραφείς:
Angelini, A.
Mavrogenis, A.F.
Crimì, A.
Georgoulis, J.
Sioutis, S.
Bekos, A.
Igoumenou, V.G.
Cerchiaro, M.C.
Berizzi, A.
Ruggieri, P.
Περιοδικό:
EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY
Εκδότης:
Springer-Verlag Italia s.r.l.
Λέξεις-κλειδιά:
adverse event; bone nail; diagnostic imaging; female; femur; femur fracture; human; intramedullary nailing; male; middle aged; osteosynthesis; retrospective study, Bone Nails; Female; Femoral Fractures; Femur; Fracture Fixation, Internal; Fracture Fixation, Intramedullary; Humans; Male; Middle Aged; Retrospective Studies
DOI:
10.1007/s00590-021-02873-w
