PDF(Pubmed)
Abstract：
Multiple fractures are frequently encountered in adults following road traffic accidents. A 32-year-old male presented with multiple fractures in his right lower extremity, including a femoral shaft fracture, distal third fractures of the tibia and fibula, as well as a calcaneal fracture. The patient provided a history indicative of a road traffic accident. X-rays were performed on both hip joints, both knee joints, and the ankle joints. Treatment involved open reduction and internal fixation (ORIF) with interlocking nailing for the femur, tibia, and fibula, alongside ORIF with plating using a screw-out set (SOS) and cannulated cancellous (CC) screw fixation for the calcaneal fracture. Additionally, the Ilizarov procedure was conducted following debridement over the right foot. Post-surgery, the patient experienced primary symptoms of hip joint pain and restricted hip joint movement. Physiotherapy was initiated to address these issues. Evaluation of outcome measures indicated a reduction in joint pain, significant enhancement in joint mobility, and an increase in muscle strength.
摘要：
道路交通事故后，成年人经常遇到多处骨折。一名32岁男性右下肢多处骨折,包括股骨干骨折,胫骨和腓骨远端第三骨折，还有跟骨骨折.患者提供了指示道路交通事故的历史。对两个髋关节进行了X射线检查，两个膝关节,还有踝关节.治疗包括股骨切开复位和内固定（ORIF）带锁钉，胫骨,和腓骨,与ORIF一起使用螺钉外固定（SOS）和空心松质骨（CC）螺钉固定治疗跟骨骨折。此外,Ilizarov手术是在右脚清创术后进行的.手术后,患者出现髋关节疼痛和髋关节活动受限的主要症状。发起物理治疗以解决这些问题。对结局指标的评估表明关节疼痛减轻，关节活动度显著增强，和肌肉力量的增加。
