Case Report
Copyright ©The Author(s) 2024.
World J Orthop. Oct 18, 2024; 15(10): 973-980
Published online Oct 18, 2024. doi: 10.5312/wjo.v15.i10.973
Table 1 Timeline
Time
Clinical finding
Treatment
Two hours before hospital admissionPain in the chest, back, and right hip, as well as mobility impairment resulting from a car accidentAmbulance to hospital
The day of admissionA compression fracture of the 8th thoracic vertebra, a right femoral head fracture (pipkin III, Figure 1A), a right femoral neck fracture (AO/OTA B2.3, Figure 1B), a right intertrochanteric fracture (AO/OTA A1.1, Figure 2A-C), and a posterior dislocation of the right hipThe patient underwent right tibial tubercle traction and received various symptomatic treatments
The 7th day of admissionIpsilateral fractures of the femoral head, femoral neck, and intertrochanteric regionOperation
3 days after the operationThe wound was slightly deep and the right lower limb was swollenStart isometric training of the quadriceps while in bed
1 week after the operationThe pain in the wound had begun to ease and the swelling in the lower limbs had been reducedKnee joint flexion and extension exercises were initiated
1 month after the operationX-rays and CT scans indicated that the fracture was not displaced and that the internal fixation remained secureWalk with crutches
1 year after the operationX-rays and CT scans demonstrated that the fractures had healed and no signs of avascular necrosis of the femoral head or osteoarthritisThe patient could already walk normally