Articles: femoral-fractures-complications.
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Clin. Orthop. Relat. Res. · Oct 1981
Case ReportsHypophosphatemic vitamin D refractory osteomalacia with bilateral femoral pseudofractures.
The case of a young adult female who developed multiple orthopedic problems associated with genetic osteomalacia is presented. Pathologically in the subcapital regions of both proximal femurs severe osteomalacic callus through stress fractures was demonstrated.
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This paper reports a study of ipsilateral fractures of the femoral and tibial shafts in 21 patients treated according to a detailed plan including shock treatment, prophylaxis against fat embolism, soft-tissue and fracture treatment. Death due to hypovalaemic shock was eliminated and the incidence of fat emboliism (9-5%) reduced in comparison with an earlier series. ⋯ Results have improved compared with earlier series. All fractures healed within 15 months, and functional end results have been excellent in the majority of the surviving patients (89%).