Postponed Fracture of Femur Treated by Novel "Fixation in situ" Approach with Ilizarov: A Case Report.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 32958965.
- Also identified by DOI 10.1007/s43465-020-00249-6 and PMC identifier 7494134.
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Abstract
The term "Postponed Fractures" (PF) appears to be more logical when one talks about neglected fractures. The "Fixation in situ" (FIS) approach with Ilizarov is a novel concept to treat such case. A 35-year male with comminuted subtrochanteric fracture with a big butterfly fragment (left femur) reported after 3 weeks of injury. He was ready for surgery at 6 weeks of injury with 5 cm shortening and external rotation deformity. Apprehending that Open surgery at that time would invite extensive soft tissue dissection resulting in infection, "Fixation in situ" approach was contemplated. A Hybrid Ilizarov Femoral frame was mounted without disturbing the fracture. Corticotomy through distal metaphysis was done to correct rotation and shortening. Accordion manoeuvre (AM) was also applied. The apparatus was removed at 6 months. He regained length, rotation and full function.
Anatomy
- femur