同側下肢多重骨折の2例の治療経験

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  • Treatment of Ipsilateral Multiple Fractures of the Lower Extremity: A Report of Two Cases

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There are few reports of comorbid cases of femoral neck, shaft and tibial shaft fractures. We report a method of fixation and outcome of two cases with those fractures. Case l: A 35-year-old man was involved in a traffic injury. There were trochanteric and shaft fractures of the right femur, and both tibiofibular shaft fractures. On the injury day, traction was applied to both legs with external fixator, and direct traction was applied to the right femur. Eighteen days after injury, we fixed both tibiae with intramedullary nails, trochanteric and shaft of the right femur with intramedullary nail. Case 2: A 36-year-old man was hurt in a traffic accident. There were neck and shaft fractures of the right femur, and right tibiofibular shaft fractures. On the injury day, traction was applied to the right leg with external fixator, and direct traction was applied to the right femur. Sixteen days after injury, we fixed the right tibia with on intramedullary nail and the right femoral shaft with plate and the right femoral neck with screws. Choice of implants is difficult in multiple fracture cases. In case of femoral fracture, as the choice of implants, intramedullary nail alone, and combination of plate and screw are available the technique best suiting the fracture type must be selected.

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