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[Treatment of open femur fracture with critical bone loss of femoral shaft in politrauma patient--case report]. | LitMetric
Unlabelled : The authors describe the case of a 21 year old patient who suffered an politrauma injury in a traffic accident (motorcyclist).Objectives : Presentation of possiblities of treatment femur bone fracture with critical bone loss using intramedullary nail.Methods : Patients's Injury included: fractures of the femur, temporal bone, and ulna. The patient's Severity Score (ISS) was 24. The dominant trauma fracture was open, comminuted fracture of femur shaft (AO 32-C2, Anderson-Gustilo IIIa) with bone loss stated as critical (loss of femoral shaft over 10 cm, including the loss of more than 50% of the circumference was about 8 cm length, and the loss of the full circumference of more than two branches of the missing bone). Osteosynthesisnad bone length reconstruction of the femur was with use of intramedullary locking nail.Results : Full reconstruction was regenerated after 12 months. Although there was extensive injury no local and general complications appeared.Conclusion : Early definitive fracture stabilization and secondary dynamisation possible to obtain the bone regeneration at the defect site.
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