Fracture of pubic rami during hip fracture fixation: a rare case of traction table-related injury.
Gomindes, Austin Remtulla, Mohammedabbas Cooper, Julian Nikolaides, Anastasios P
Gomindes, Austin
Remtulla, Mohammedabbas
Cooper, Julian
Nikolaides, Anastasios P
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2022-01-03
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Abstract
We present a case of an elderly and comorbid patient who was scheduled to undergo a hip fracture fixation using an intramedullary nail. Unfortunately, this was delayed by 3 weeks as the patient was unfit to undergo this procedure. She was placed onto the traction table and intraoperatively sustained a superior and inferior pubic rami fracture while attempting reduction on the traction table. Closed-reduction techniques using traction tables and perineal posts are not without morbidity. Risk factors such as osteoporosis and delayed-fixation should be accounted for when managing this complex and often frail group of patients.
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Gomindes A, Remtulla M, Cooper J, Nikolaides AP. Fracture of pubic rami during hip fracture fixation: a rare case of traction table-related injury. BMJ Case Rep. 2022 Jan 3;15(1):e246581. doi: 10.1136/bcr-2021-246581
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