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Postponed Fracture of Femur Treated by Novel “Fixation in situ” Approach with Ilizarov: A Case Report
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) repor...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer India
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7494134/ https://www.ncbi.nlm.nih.gov/pubmed/32958965 http://dx.doi.org/10.1007/s43465-020-00249-6 |
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author | Baruah, Ranjit Kumar Sivaraman, Shyam Sunder |
author_facet | Baruah, Ranjit Kumar Sivaraman, Shyam Sunder |
author_sort | Baruah, Ranjit Kumar |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7494134 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer India |
record_format | MEDLINE/PubMed |
spelling | pubmed-74941342020-09-17 Postponed Fracture of Femur Treated by Novel “Fixation in situ” Approach with Ilizarov: A Case Report Baruah, Ranjit Kumar Sivaraman, Shyam Sunder Indian J Orthop Case Report 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. Springer India 2020-09-16 /pmc/articles/PMC7494134/ /pubmed/32958965 http://dx.doi.org/10.1007/s43465-020-00249-6 Text en © Indian Orthopaedics Association 2020 |
spellingShingle | Case Report Baruah, Ranjit Kumar Sivaraman, Shyam Sunder Postponed Fracture of Femur Treated by Novel “Fixation in situ” Approach with Ilizarov: A Case Report |
title | Postponed Fracture of Femur Treated by Novel “Fixation in situ” Approach with Ilizarov: A Case Report |
title_full | Postponed Fracture of Femur Treated by Novel “Fixation in situ” Approach with Ilizarov: A Case Report |
title_fullStr | Postponed Fracture of Femur Treated by Novel “Fixation in situ” Approach with Ilizarov: A Case Report |
title_full_unstemmed | Postponed Fracture of Femur Treated by Novel “Fixation in situ” Approach with Ilizarov: A Case Report |
title_short | Postponed Fracture of Femur Treated by Novel “Fixation in situ” Approach with Ilizarov: A Case Report |
title_sort | postponed fracture of femur treated by novel “fixation in situ” approach with ilizarov: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7494134/ https://www.ncbi.nlm.nih.gov/pubmed/32958965 http://dx.doi.org/10.1007/s43465-020-00249-6 |
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