Subtrochanteric and Distal Femur Fractures in a Patient with Femoral Shaft Fracture Malunion and Knee Disarticulation: A Rare and Challenging Case Report.

R E Pires, E O Santana, P J Labronici, I A Almeida Filho

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Article in Annals of medical and health sciences research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

R E PiresDepartment of the Locomotive Apparatus, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.

E O SantanaDepartment of Orthopedics and Traumatology, Felicio Rocho Hospital, Belo Horizonte, MG, Brazil.

P J LabroniciDepartment of Orthopedics and Traumatology, Santa Teresa Hospital, Petrópolis, RJ, Brazil.

I A Almeida FilhoDepartment of Orthopedics and Traumatology, Felicio Rocho Hospital, Belo Horizonte, MG, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to describe a rare and challenging case of a patient who presented ipsilateral subtrochanteric and distal femur fractures due to low-energy trauma. The peculiarity of this case is the presence of femoral shaft fracture malunion and knee disarticulation in the same limb resulting from an accident suffered 30 years ago. The patient underwent femoral diaphyseal osteotomy and fixation of the subtrochanteric and distal femur fractures with a long cephalomedullary nail and distal femur locking plate, respectively. Despite the magnitude of the surgical procedure, all fractures healed, preserving the femoral length with the absence of infection and clinical complications. There was an improvement of the preinjury function attributed to the osteotomy of the femoral diaphyseal, which alleviated the anterior thigh discomfort.

Indexed as

AmputationDistal femur fractureFemoral shaft fractureFemurFemur fracturesFracture fixationFracture malunionFracturesIntramedullary nailKnee disarticulationSubtrochanteric fracture

Identifiers

PMID28503351

DOI10.4103/amhsr.amhsr_86_16

PMCPMC5414446

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