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External Locking Plate Fixation for a Femoral Shaft Fracture in an Unhealthy Patient with Deformity

Author

Listed:
  • Paul Gagnet
  • Daniel Paull
  • Nabil Ebraheim

    (Department of Orthopaedic Surgery, University of Toledo College of Medicine and Life Sciences, Spain)

Abstract

Multiple case studies have been performed at our institution, and other institutions on the subject of external locking plates (LCP) utilized in tibial fractures. Reports of utilizing an external LCP for fractures of the femur are very rare. This case presents a 22-year old male patient with a displaced distal mid-shaft femoral spiral fracture. Past medical history included failure to thrive, permanent non weight bearing status, and femoral bone deformity. The patient’s femoral deformity and health status precluded him from intramedullary nailing and ORIF. The patient was treated with closed reduction and subsequent placement of an external locking compression plate. The external locking plate is less bulky than a standard external fixator and makes it advantageous for transfer of the patient, changing of clothes, and sleeping. We found that external locking plate fixation of a femoral shaft fracture is a viable alternative to standard external fixation in a patient that is unhealthy and has a femoral bone deformity present.

Suggested Citation

  • Paul Gagnet & Daniel Paull & Nabil Ebraheim, 2018. "External Locking Plate Fixation for a Femoral Shaft Fracture in an Unhealthy Patient with Deformity," Juniper Online Journal of Orthopedic & Orthoplastic Surgery, Juniper Publishers Inc., vol. 1(4), pages 65-67, April.
    • Handle: RePEc:adp:jojoos:v:1:y:2018:i:4:p:65-67
    DOI: 10.19080/JOJOOS.2018.01.555567
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