PMC4845407_01
Radiograph of right periprosthetic femur fracture with large open wounds laterally, medially, and posterior
JOCR-6-33-g001.jpg
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F1
On arrival, she was hemodynamically unstable in the trauma bay; her injuries included bilateral lung contusions, multiple rib fractures, small left hemothorax, splenic laceration, stable pubic rami fractures, bilateral open femur fractures (Figs. 1&2), and massive degloving injuries with multiple open wounds throughout the lower extremity (Fig. 3).
Immediate post-operative radiograph after open reduction internal fixation with proximal femoral locking plate of right periprosthetic fracture. Open wounds closed primarily with skin staples where possible
JOCR-6-33-g004.jpg
PMC4845407_01_JOCR-6-33-g004.jpg
F4
A 4.5 mm 12-hole LCP plate was used for the right open periprosthetic fracture (Fig. 4), and a 12 mm Zimmer piriformis nail was used for the left femur (Fig. 5).