PMC7210911_01
A pre-operative anteroposterior view X-ray illustrating a supracondylar oblique femur fracture with a displacement of 31 mm (black strip in image for confidential purpose).
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F1
A 68-year-old female with a body mass index (BMI) of 98.1 kg/m2presented with diabetes mellitus type 2, chronic kidney disease, hypothyroidism, and atrial fibrillation who suffered from left femur supracondylar extraarticular long oblique fracture 32-A2 (AO Muller classification) with a displacement of 31 mm (Fig. 1)after stepping out of the vehicle twisting her left leg accompanied by a short distance fall to the ground.
Surgical pre-operative preparation withtwo-attached bariatric surgical table.
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F2
First, it was advised to book an extra-wide bariatric intensive care unit (ICU) bed for post-operative care and second, to prepare two surgical bariatric tables that would fit her size (Fig. 2).
Post-operative anteroposterior view X-ray of an open reduction internal fixation. Note satisfactory reduction of displacement to less than 1 mm, using intramedullary nail fixation with one proximal and two interlocking screws at the distal of femur (black strip in image for confidential purpose).
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F3
The patient post-operative imaging showed satisfactory reduction on X-ray (Fig. 3).The patient did not develop any major early complication post-operatively.
Four weeks postoperative anteroposterior and a lateral X-ray view of open reduction internal fixation. Note satisfactory fixation place with delay in soft callus formation.
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F4
Day of discharge imaging showed no infection of bone and a well-placed nail with a reduced fracture but minor delay in soft callus formation (Fig. 4).
Patient on two-attached bariatric surgical table using C-arm imaging.
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F5
Once the patient was in theater, twelve staff members helped to transfer the patient to the two-attached bariatric surgical table (Fig.5).