Subtrochanteric and distal femur fractures in a patient with femoral shaft fracture malunion and knee disarticulation: a rare and challenging case report

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...

Descripción completa

Detalles Bibliográficos
Autores: Robinson Esteves Santos Pires, E. O Santana, P. J. Labronici, I. A. Almeida Filho
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Brasil
Institución:Universidade Federal de Minas Gerais (UFMG)
Repositorio:Repositório Institucional da UFMG
Idioma:inglés
OAI Identifier:oai:repositorio.ufmg.br:1843/56971
Acceso en línea:http://hdl.handle.net/1843/56971
Access Level:acceso abierto
Palabra clave:Amputation
Distal femur fracture
Femoral shaft fracture
Femur fractures
Fracture fixation
Fracture malunion
Intramedullary nail
Knee disarticulation
Subtrochanteric fracture
Fraturas Femorais Distais
Fraturas do Fêmur
Fixação de Fratura
Fraturas Mal-Unidas
Fraturas do Quadril
Descripción
Sumario: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.