A Rare Polytrauma Case With Bilateral Communited Femur Fractures With One Sided Segmental Neck and Shaft of Femur Fracture With Bilateral Trans-Scaphoid Perilunate Fracture Dislocation

2016 
High velocity traumas are on a rise due to multiple factors in modern day Orthopedic practice.A high index of suspicion is very important in diagnosing associated injuries whenever a polytrauma patient presents to our Emergency department.We report a rare case of polytrauma in a young 30 years male patient where the patient had bilateral waist of scaphoid fractures with bilateral dorsal trans-scaphoid perilunate dislocation with bilateral diaphyseal fracture of femur with one side segmental communited fracture of the femur diaphysis with Basicervical fracture femur.According to our review of literature there are no such cases reported where the patient had such an intensity of grievous injuries.All the fractures were stabilized within the first 72 hours with good hemodynamic stabilization of the patient.Both the scaphoid fractures were fixed with Headless Hebert Screws with reduction of intercarpal joints with additional K-wire on right side.Both the scaphoid fractures united fortunately for the patient.Left sided Femur was fixed with Intramedullary Interlocking nail.Right sided segmental Femur fracture was fixed with closed Proximal Femoral Nail which went to unite primarily without secondary Bone Grafting.
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