Berebichez FE, Hedrosa RJ, Paz LJA, Bargalló RE, Berebichez PM

Language: Spanish
References: 8
Page: 102-105
PDF size: 131.59 Kb.

ABSTRACT

Ipsilateral intertrochanteric and femoral shaft fractures are a rare event as resulting from high velocity impacts, usually motor vehicle accidents. There are no reports in the literature on this kind of fractures in both extremities. Management of ipsilateral cases is a controversial issue among authors. We report a case of a 31 year old man that was involved in a car accident and suffered bilateral intertrochanteric and femoral shaft fractures (mirror image), associated injuries to other systems. The patient was treated with bilateral DHS nail-plates to fix both fractures in each leg, his outcome was satisfactory.

REFERENCES

1. Kimbrough EE. Concomitant unilateral hip and femoral shaft fractures. A too frequently unrecognized syndrome. A report of five cases. J Bone Joint Surg 1961; 43A: 443.

2. Wellin DE, Galloni L, Gelb RI. Ipsilateral intertrochanteric and diaphyseal femoral fractures. Clin Orthop 1984; 183: 71-75.

3. Rockwood CA, Green DP, Bucholz RW. Rockwood and Green’s fractures in adults. 3th ed. JB Lippincott, 1991; vol 2: 1552-1555.

4. Casey MJ, Chapman MW. Ipsilateral concomitant fractures of the hip and femoral shaft. J Bone Joint Surg 1979; 61-A (4): 503-509.

5. Harryman DT, Kurth LA, Davis CM. Ipsilateral femoral neck and shaft fracture report of two cases using an alternate technique. Clin Orthop 1986: 213: 183-188.

6. Crenshaw AH. Campbell’s operative orthopaedics. Mosby Year Book, 8a. edit. 1992; Vol. 2: 862-896.

7. Boyd RJ, Burke JF, Colton T. A double blind clinical trial of prophylactic antibiotics in hip fractures. J Bone Joint Surg 1973; 55-A: 1251-1258.

8. Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of internal fixation. 3th ed. Springer-Verlag, 1990: 275.