ArticleCureus2025
Insufficiency Fracture of the Proximal Femur in a Spastic Paraplegic Patient: A Case Report.
Article in Cureus, 2025. 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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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Managing lower extremity insufficiency fractures in patients with severe spastic paraplegia presents unique challenges. These fractures occur without significant trauma due to factors such as decreased bone quality and reduced muscle mass. The optimal treatment approach remains unclear due to the rarity of reported cases in the literature. This case report describes a severely displaced proximal femur fracture in a 33-year-old male with severe spastic paraplegia, mimicking a posterior hip dislocation deformity. The fracture was successfully treated with open reduction and internal fixation using a static intramedullary nail. This case underscores the importance of individualized treatment strategies for complex fractures in patients with spinal cord injuries and severe spastic paraplegia.
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