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What is the correct treatment for an open and comminuted femur fracture? The initial professional who treated the case assumed that the fracture s...

What is the correct treatment for an open and comminuted femur fracture?

The initial professional who treated the case assumed that the fracture should be stabilized immediately and performed an osteosynthesis with an intramedullary nail and five cerclage wires.
As it is an open fracture with abundant soft tissue damage, it is decided to stabilize the fracture with an external fixator, avoiding placing implants in the fracture site.
During the operation, the cerclage wires are removed, but the intramedullary nail is temporarily left in place to maintain the alignment of the femur.
A radiograph is taken only in the mediolateral projection as a postoperative control.
The external fixator is removed after consolidation of the fracture.
A radiograph shows a secondary loss of stabilization and partial collapse of the fracture.
The intramedullary nail and cerclage wires are removed, and the fracture is stabilized with an external fixator with radiolucent connecting bars to evaluate bone consolidation with radiographs.
The incorrect planning of this case, in which inadequate implants and techniques were used for the management of this fracture, resulted in a loss of stabilization and partial collapse of the fracture.
The correct option in this case would have been to stabilize the fracture with an external fixator, avoiding placing implants in the fracture site.
The correct option in this case would have been to perform an osteosynthesis with an intramedullary nail and five cerclage wires.
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FlechasNegritoItálicoSubrayadaTachadoCitaCódigoLista numeradaLista con viñetasSuscritoSobreDisminuir la sangríaAumentar la sangríaColor de fuenteColor de fondoAlineaciónLimpiarInsertar el linkImagenFórmula

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