J Korean Fract Soc.  2009 Jul;22(3):193-196. 10.12671/jkfs.2009.22.3.193.

Ipsilateral Femoral Segmental and Tibial Fractures : A Case Report

• Sohn OJ
• Park CH
• Bae SK

• KMID: 2063910
• DOI: http://doi.org/10.12671/jkfs.2009.22.3.193

Abstract

The ipsilateral femoral segmental and tibial fractures seldom occur such as traffic accidents needed high energy mechanisms. For these fractures, surgical stabilization and early mobilization of joint produce can be the best clinical outcomes. We have experienced a case of ipsilateral femoral segmental and tibial fracture and gained good clinical results with surgical treatment. We have reported here on this case and included a review of the relevant literature.

Keyword

Femoral segmental fracture; Tibial fracture; Ipsilateral fracture

MeSH Terms

Accidents, Traffic
Early Ambulation
Joints
Tibial Fractures

Figure

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  Fig. 1 (A) Initial radiographs of a 51 year-old man show femoral segmental and patellar fractures on the right side. (B) Initial radiographs show ipsilateral tibial plateau fracture.

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  Fig. 2 Immediate postoperative radiographs show the retrograde nailing of femur (A), plate fixation of tibia (B) and tension band wiring of patella (C).

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  Fig. 3 At 6 months follow up, photographs show nearly full range of motion (A, B).

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  Fig. 4 One year follow up radiographs show complete union of femur (A), tibia (B) and patella (C).

Reference

1. Doyle P, Oliver CW. Complex floating knee; trifocal tibial and ipsilateral femoral fracture. Injury. 1998; 29:553–555.

2. Fraser RD, Hunter GA, Waddell GP. Ipsilateral fracture of the the femur and tibia. J Bone Joint Surg Br. 1978; 60:510–515.

3. Kwon CH, Huh TS. A clinical study of ipsilateral fracture of the femur and tibia. J Korean Orthop Assoc. 1995; 30:967–974.

4. Lundy DW, Johnson KD. Floating knee injuries: ipsilateral fractures of the femur and tibia. J Am Acad Orthop Surg. 2001; 9:238–245.

5. Oh CW, Oh JK, Min WK, et al. Management of ipsilateral femur and tibia fractures, with retrograde and antegrade nailings from the knee. J Korean Fract Soc. 2005; 18:131–135.

6. Paul GR, Sawka MW, Whitelaw GP. Fracture of the ipsilateral femur and tibia: emphasis on intra-articular and soft tissue injury. J Orthop Trauma. 1990; 4:309–314.

7. Sohn SK, Kim KT, Kim BY, Jung BH, Hwang KS. Treatment of ipsilateral femur and tibia fractures. J Korean Soc Fract. 2000; 13:837–846.

8. Veith RG, Winquist RA, Hansen ST. Ipsilateral fractures of the femur and tibia. J Bone Joint Surg Am. 1984; 66:991–1002.

9. Winquist RA, Hansen ST. Segmental fractures of the femur treated by closed intramedullary nailing. J Bone Joint Surg Am. 1978; 60:934–939.

10. Winston ME. The result of conservative treatment of fractures of the femur and tibia in the same limb. Surg Gynecol Obstet. 1972; 134:985–991.