Abstract:Introduction:Femoral shaft fracture is one of the typical bone fractures due to high energy trauma and may occur as an open fracture. Some foreign materials may enter the fracture site such as sand, cloth particles and so on.Case Presentation:A 28-year-old motorcycle riding military member and his collaborator were received in the hospital because of multiple traumas due to a fall in a hollow during a surveillance mission. His collaborator died because of head trauma and multiple severe open fractures. When fi… Show more
“…Fractures may originate from penetrating trauma and are mostly caused by non-organic projectiles. Fractures caused by projectiles of organic tissue are almost unheard of and the few cases present in the literature describe fractures associated with projectiles of heterologous tissue [ 1 ].…”
Case
A young adult male sustained a high-energy crash suffering multiple injuries including a comminuted right femoral shaft fracture and an ipsilateral iliac wing fracture. The iliac fracture was caused by a femoral fragment which was projected and pierced the iliac wing. The patient underwent surgery with retrieval of the femoral fragment and fixation of the iliac and femoral fractures. The lesions healed uneventfully.
Conclusion
This is the first reported case of an iliac fracture caused by a projectile of autologous bone. High-energy trauma may present unusual or never seen injury patterns to the trauma surgeon.
“…Fractures may originate from penetrating trauma and are mostly caused by non-organic projectiles. Fractures caused by projectiles of organic tissue are almost unheard of and the few cases present in the literature describe fractures associated with projectiles of heterologous tissue [ 1 ].…”
Case
A young adult male sustained a high-energy crash suffering multiple injuries including a comminuted right femoral shaft fracture and an ipsilateral iliac wing fracture. The iliac fracture was caused by a femoral fragment which was projected and pierced the iliac wing. The patient underwent surgery with retrieval of the femoral fragment and fixation of the iliac and femoral fractures. The lesions healed uneventfully.
Conclusion
This is the first reported case of an iliac fracture caused by a projectile of autologous bone. High-energy trauma may present unusual or never seen injury patterns to the trauma surgeon.
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