Femoral shaft fracture


In this following case, we deal with the lower femoral shaft.

A nice young lady, leaving with her mother, knows exactly what she does not want concerning her treatment and … the surgeons.

Anyhow; evidences are obvious and no one can escape. Despite her reticence, she accepted – at last – to be re-operated.

A recalcitrant femur

Holidays, in August, somewhere in France .

The young lady was run down by a car. « What a pity and during holidays, she complains. I don't drive. More, Doctor, I was on a pedestrian crossing. I was with my mummy. What about her? She is fine. Thanks.

I went to the hospital and they fixed my femur. I asked to return home as soon as possible. Do you understand, Doctor, my mummy is alone and I am still in this hospital. I cried when they tried to move my knee.

What do you think Doctor? But, I don't want to be re-operated »…

Sic

The femur does not heal seven months later!

Despite the metallic plate, the femur does not heal seven months later.

The situation drags on.

During three months, the surgeon tries to convince her to be re-operated. During three months, the mother tries to make her daughter change her mind. Despite the bed-rest or the wheel-chair, despite a severe pain she refuses.

At last, she said « yes ». Thanks God.

Seven months later: the surgical procedure

The new metallic fixation is strong and stable.

The biomaterial (Co) is placed all around the femoral shaft (D).

Multiple vascularized bone ships (d) are surrounding the living graft.

Yes, Young lady, your femur is healing!

Three months later

The truth is on X-rays.

The femoral remodelling appears: Cortices thickness is decreasing, beads fall into lines parallels to the great femoral axis.

You still don't believe it?

Look how natural coral disappears!!

You are asking what the coral became. This is the good question.

You are not the only one who asks such things. Many doctors even asked it.

The material is biodegradable. It becomes a new bone, your new bone.

It belongs to you and to your proper skeleton.

What did you say? Recalcitrant?

Isn't it rebuilt?

Here, one year later, who could doubt about the reality of such images!

Cortices are homogenous. Few years will be necessary to get a permeable medullar canal.

What could you expect more? More then what?

Natural coral acts as an autologous bone graft.


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Lower Limb pathology: Knee