Integrated Nail and Plate Fixation with Allograft in the Management of Osteoporotic Intra-articular Distal Femur Fracture - A Case Report.

INTRODUCTION: Most patients with these injuries are taken to hospitals frequently for specialized orthopedic treatment. However, because quackery is a common practice in the many regions, it is common in underdeveloped nations, particularly in rural India, for these injuries to be initially overlooked. This study aimed to assess the efficacy of open intramedullary nailing in the treatment of patients with neglected bilateral fracture shaft femurs in terms of union achievement and functional outcomes.

CASE REPORT: The first presentation was a 27-year-old male patient with bilateral untreated malunited shaft femur fractures that had occurred 10 months prior. The patient had a history of a car accident that resulted in bilateral shaft femur fractures. We aimed to treat both fractures simultaneously in a single setting with open reduction and femoral nailing. The patient has followed up for 10 months after surgery with full weight bear walking without support and can sit cross legged and squat.

CONCLUSION: The prognosis is typically poorer for neglected femoral shaft fractures than for those that are treated immediately. Any surgeon who works in low facilities setting needs to be aware of difficulties in the management of neglected or non-union shaft femur fracture.