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Bilateral simultaneous intertrochanteric fractures of femur without major trauma.

Aydın E, Dülgeroğlu TC, Metineren H - Int Med Case Rep J (2015)

Bottom Line: Bilateral simultaneous intertrochanteric femur fractures are rare and usually occur as a result of major trauma.The patient was treated with closed proximal femoral nailing in both hips in the same operation period.At last follow-up, 6 months after surgery, the patient was able to walk with the aid of his children and resumed his previous status, after he had completed an intensive rehabilitation program.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics and Traumatology, Dumlupinar University School of Medicine, Kutahya, Turkey.

ABSTRACT
Bilateral simultaneous intertrochanteric femur fractures are rare and usually occur as a result of major trauma. In this paper, we present a 76-year old male patient from Turkey referred to the emergency service of our hospital with severe pain and poor mobilization in both hips. There was no history of major trauma. The patient was treated with closed proximal femoral nailing in both hips in the same operation period. At last follow-up, 6 months after surgery, the patient was able to walk with the aid of his children and resumed his previous status, after he had completed an intensive rehabilitation program.

No MeSH data available.


Related in: MedlinePlus

İnjury computed tomography image showing bilateral femur proximal fractures.
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f1-imcrj-8-137: İnjury computed tomography image showing bilateral femur proximal fractures.

Mentions: A 76-year old male from Turkey was referred to the emergency services of our hospital with severe pain and poor mobilization in both hips. In his history he had to jump over two small steps from a staircase, because his feet slipped and then the patient sat down on the step and was not able to stand up because he felt severe pain in both hips, and then he was transported to the emergency services later. The physical examination in the emergency service department revealed external rotation posture in both lower extremities, limitations in movement, sensitivity, and severe pain. After the X-ray and computed tomography, bilateral trochanteric femur fracture was detected (Figures 1 and 2). According to his medical history, even though the patient is elderly he does not have any medical comorbidities. The necessary preparations were made and the patient was taken to the operating room. Spinal anesthesia was applied, and fracture reduction was performed on the fracture table with the support of flouroscopy, and then in the same operation period, closed proximal femoral nailing was performed to both hips (Figure 3). No serious bleeding occurred, and based on this, there was no need for transfusion during and after the operation. No complications developed in the postoperative period. At last follow-up, 6 months after surgery, the patient was able to walk with his children’s assistance and resumed his previous status, after he had taken up an intensive rehabilitation program.


Bilateral simultaneous intertrochanteric fractures of femur without major trauma.

Aydın E, Dülgeroğlu TC, Metineren H - Int Med Case Rep J (2015)

İnjury computed tomography image showing bilateral femur proximal fractures.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492662&req=5

f1-imcrj-8-137: İnjury computed tomography image showing bilateral femur proximal fractures.
Mentions: A 76-year old male from Turkey was referred to the emergency services of our hospital with severe pain and poor mobilization in both hips. In his history he had to jump over two small steps from a staircase, because his feet slipped and then the patient sat down on the step and was not able to stand up because he felt severe pain in both hips, and then he was transported to the emergency services later. The physical examination in the emergency service department revealed external rotation posture in both lower extremities, limitations in movement, sensitivity, and severe pain. After the X-ray and computed tomography, bilateral trochanteric femur fracture was detected (Figures 1 and 2). According to his medical history, even though the patient is elderly he does not have any medical comorbidities. The necessary preparations were made and the patient was taken to the operating room. Spinal anesthesia was applied, and fracture reduction was performed on the fracture table with the support of flouroscopy, and then in the same operation period, closed proximal femoral nailing was performed to both hips (Figure 3). No serious bleeding occurred, and based on this, there was no need for transfusion during and after the operation. No complications developed in the postoperative period. At last follow-up, 6 months after surgery, the patient was able to walk with his children’s assistance and resumed his previous status, after he had taken up an intensive rehabilitation program.

Bottom Line: Bilateral simultaneous intertrochanteric femur fractures are rare and usually occur as a result of major trauma.The patient was treated with closed proximal femoral nailing in both hips in the same operation period.At last follow-up, 6 months after surgery, the patient was able to walk with the aid of his children and resumed his previous status, after he had completed an intensive rehabilitation program.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics and Traumatology, Dumlupinar University School of Medicine, Kutahya, Turkey.

ABSTRACT
Bilateral simultaneous intertrochanteric femur fractures are rare and usually occur as a result of major trauma. In this paper, we present a 76-year old male patient from Turkey referred to the emergency service of our hospital with severe pain and poor mobilization in both hips. There was no history of major trauma. The patient was treated with closed proximal femoral nailing in both hips in the same operation period. At last follow-up, 6 months after surgery, the patient was able to walk with the aid of his children and resumed his previous status, after he had completed an intensive rehabilitation program.

No MeSH data available.


Related in: MedlinePlus