tailieunhanh - báo cáo khoa học: "A simple technique to position patients with bilateral above-knee amputations for operative fixation of "

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A simple technique to position patients with bilateral above-knee amputations for operative fixation of | Aqil et al. Journal of Medical Case Reports 2010 4 390 http content 4 1 390 jAc JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access A simple technique to position patients with bilateral above-knee amputations for operative fixation of intertrochanteric fractures of the femur a case report 1 2 3 2 Adeel Aqil Aravind Desai Asterios Dramis Saqif Hossain Abstract Introduction Intertrochanteric fractures of the femur are common fractures in the elderly and management includes operative fixation after patient positioning on the fracture table. Patients with bilateral above-knee amputations are challenging in terms of positioning on the table. We describe a simple technique to overcome this special problem. Case presentation A 75-year-old wheelchair-bound Caucasian man with bilateral above-knee amputations presented to our hospital after a fall. Plain radiographs showed an intertrochanteric fracture of the femur and operative fixation with a dynamic hip screw was planned. His positioning on the table posed a particular problem and therefore we developed a technique to overcome this problem. Conclusion Positioning of patients for fixation of intertrochanteric fractures of the femur poses a particular problem that can be solved by using our simple technique. Introduction Fracture of the neck of the femur is a common indication for admission to trauma units 1 . Currently the dynamic hip screw DHS is a common implant used in the fixation of extracapsular fractures of the proximal femur 2 . This involves positioning the patient on a fracture table and applying traction and rotation on the legs after placing the feet in special boots fixed to the table. Therefore positioning of patients with bilateral above-knee amputations is challenging as their feet and part of their legs are missing. A few methods have been described for patients with bilateral below-knee amputations undergoing fixation for intertrochanteric fractures 3 4 . We describe a

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