Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee Amputee

While diaphyseal femoral shaft fractures are common, it is uncommon to see this injury in leg amputees. Traditionally, these fractures are internally fixed using a fracture table with reduction obtained by traction and adequate rotation exerted on a slightly abducted extremity. Special consideration...

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Main Authors: Stefan Mitrasinovic, Georgios Kiziridis, Shauni Wellekens, Charline Roslee, Syed Neshat Anjum
Format: Article
Language:English
Published: Hindawi Limited 2019-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2019/8691398
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spelling doaj-ced3ef1c86a84a8294f1fefe57491bc22020-11-25T01:49:06ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/86913988691398Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee AmputeeStefan Mitrasinovic0Georgios Kiziridis1Shauni Wellekens2Charline Roslee3Syed Neshat Anjum4Department of Orthopaedics, Southampton General Hospital, Tremona Road, Southampton, UKDepartment of Orthopaedics, Southampton General Hospital, Tremona Road, Southampton, UKUniversity College London Medical School, Gower Street, London, UKDepartment of Orthopaedics, Southampton General Hospital, Tremona Road, Southampton, UKDepartment of Orthopaedics, Southampton General Hospital, Tremona Road, Southampton, UKWhile diaphyseal femoral shaft fractures are common, it is uncommon to see this injury in leg amputees. Traditionally, these fractures are internally fixed using a fracture table with reduction obtained by traction and adequate rotation exerted on a slightly abducted extremity. Special considerations need to be given in the management of patients with leg amputations. We report the case of a 24-year-old gentleman with bilateral diaphyseal femoral shaft fractures and a previous right below-knee amputation, who was transferred to our centre following a road traffic collision. We highlight important planning that needs to be undertaken for appropriate positioning, ease of reduction, and fracture fixation. We have reviewed the literature to highlight the methods that have been previously described and our use of skeletal traction through the amputation stump that can be utilised by other surgeons in challenging situations like this.http://dx.doi.org/10.1155/2019/8691398
collection DOAJ
language English
format Article
sources DOAJ
author Stefan Mitrasinovic
Georgios Kiziridis
Shauni Wellekens
Charline Roslee
Syed Neshat Anjum
spellingShingle Stefan Mitrasinovic
Georgios Kiziridis
Shauni Wellekens
Charline Roslee
Syed Neshat Anjum
Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee Amputee
Case Reports in Orthopedics
author_facet Stefan Mitrasinovic
Georgios Kiziridis
Shauni Wellekens
Charline Roslee
Syed Neshat Anjum
author_sort Stefan Mitrasinovic
title Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee Amputee
title_short Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee Amputee
title_full Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee Amputee
title_fullStr Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee Amputee
title_full_unstemmed Innovative Method of Traction in a Bilateral Diaphyseal Femur Fracture in a Polytrauma Below-Knee Amputee
title_sort innovative method of traction in a bilateral diaphyseal femur fracture in a polytrauma below-knee amputee
publisher Hindawi Limited
series Case Reports in Orthopedics
issn 2090-6749
2090-6757
publishDate 2019-01-01
description While diaphyseal femoral shaft fractures are common, it is uncommon to see this injury in leg amputees. Traditionally, these fractures are internally fixed using a fracture table with reduction obtained by traction and adequate rotation exerted on a slightly abducted extremity. Special considerations need to be given in the management of patients with leg amputations. We report the case of a 24-year-old gentleman with bilateral diaphyseal femoral shaft fractures and a previous right below-knee amputation, who was transferred to our centre following a road traffic collision. We highlight important planning that needs to be undertaken for appropriate positioning, ease of reduction, and fracture fixation. We have reviewed the literature to highlight the methods that have been previously described and our use of skeletal traction through the amputation stump that can be utilised by other surgeons in challenging situations like this.
url http://dx.doi.org/10.1155/2019/8691398
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