A Case of Bilateral Femoral Hip and Shaft Fractures

DOI 2 Citations 6 References
  • Miyazato Tomofumi
    Department of Orthopaedic Surgery, Otemachi Hospital, Fukuoka, Japan
  • Furukawa Yuki
    Department of Orthopaedic Surgery, Otemachi Hospital, Fukuoka, Japan
  • Kawabata Ayahito
    Department of Orthopaedic Surgery, Otemachi Hospital, Fukuoka, Japan
  • Mawatari Reiko
    Department of Orthopaedic Surgery, Otemachi Hospital, Fukuoka, Japan
  • Tuji Osei
    Department of Orthopaedic Surgery, Otemachi Hospital, Fukuoka, Japan
  • Hamasaki Masahiro
    Department of Orthopaedic Surgery, Otemachi Hospital, Fukuoka, Japan
  • Yoshino Koichiro
    Department of Orthopaedic Surgery, Otemachi Hospital, Fukuoka, Japan
  • Shigemori Osamu
    Department of Orthopaedic Surgery, Otemachi Hospital, Fukuoka, Japan

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Other Title
  • 両側大腿骨近位部・骨幹部骨折の１例

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Abstract

Ipsilateral fractures of the femoral hip and shaft are rare and are usually encountered in high-energy trauma. The diagnosis of undisplaced hip fracture is difficult and is missed at the initial assessment. We report a case of bilateral femoral hip and shaft fractures. A 57-year-old man was injured in a traffic accident. Initial diagnosis was bilateral shaft fracture of the femur (right shaft fracture was open) and other multiple fractures. On the same day, debridement and external skeletal fixation were performed on the open fracture. After several days, right neck fracture was found on X-ray and cannulated compression hip screw was added. On standby left femoral shaft fracture was treated by antegrade femoral nail. Postoperative X-ray revealed left trochanteric fracture, which was replaced using a long γ nail. All fractures healed without postoperative infection, non-union, or avascular necrosis.

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