Bilateral segmental pelvic and femoral fractures in a young female: A rare case report

Abstract

The management of multiple complicated injured patients remains a great challenge despite advance- ments in modern medical care. We present a rare case of bilateral unstable pelvic fractures associated with bilateral segmental femoral shaft fractures.We have proposed a mechanism of such complex injury pattern and discussed the plan of management. We believe that a timely and aggressive surgical intervention to fix all the major fractures soon after medically stabilizing the patient helped our patient to overcome these serious and lethal injuries. It is necessary to establish an optimal protocol for management of such complex fractures by conducting prospective and multicentric studies in the future.

Fig. 1

Four wheeler at the site of accident, victims being extricated from the vehicle.

Fig. 2

3-dimensional CT-scan showing bilateral segmental femur fractures, bilateral anterior column acetabular fractures, and bilateral sacral fractures.

Fig. 3

Plain CT-scan of pelvis showing bilateral sacral fractures.

Fig. 4

X-rays pelvic anteroposterior view showing united bilateral anterior column acetabulum fractures and united bilateral sacral fractures.

Fig. 5

X-rays anteroposterior view showing united right side segmental fractured femur with nail in situ at 6-month follow-up.

Fig. 6

X-rays anteroposterior and lateral views showing united left side segmental fractured femur with nail in situ at 6-month follow-up.