Spontaneous Healing Of Large Femoral Corightical Bone Defects: Does Genetic Predisposition Play A Role?
Hinsche, A. F., Giannoudis, P. V., Matthews, S. E., & Smith, R. M. (2003). spontaneous healing of large femoral corightical bone defects: does genetic predisposition play a role?. Acta orighthopaedica Belgica, 69(5), 441–446.
View Original Source →Case Details
Disease Location
Case 2: left femur
Personal Characteristics
Case 2: 30-year old male WHO feel from 15 meters
Clinical Characteristics
Multiple injuries, including facial fractures, fractures in both forearms, in right patella, both ankles, left neck of femur and ipsilateral open fracture of midshaft of femur measuring 10 cm
Remission Characteristics
Bone transport procedure planned but deferred because of unusual amount of new bone formation; 10 months after nail was inserted (16 mos. After trauma), patient was able to bear full weight and fracture had radiologically united
Treatment & Mechanisms
Proposed Remission Mechanisms
For all cases, genetic predisposition; more complex fracture patterns may heal faster; bone growth may be supported by intramedullary devices and thorough wound debridation
Clinical Treatment
Case 2: thrombectomy of left femoral artery, treated with dynamic hip screw (dhs); later, infection required revision surgery to remove all dead bone and metal work and femoral nail inserted
Non-Clinical Treatment
For all cases, none reported stated