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Rev Bras Ortop. 2013 Oct 29;48(5):438-440. doi: 10.1016/j.rboe.2012.11.003. eCollection 2013.

Injury of the knee ligaments associated with ipsilateral femoral shaft fractures.

Revista brasileira de ortopedia

Marco Tulio Lopes Caldas, Dorotea Starling Malheiros, Angelo Paulo Lazzaroni, Eduardo Axer Avelino, Anderson José Santos

Affiliations

  1. Orthopedist and Traumatologist; Head of the Medical Residence Service, Hospital Maria Amélia Lins, Fundação Hospitalar do Estado de Minas Gerais (FHEMIG); Member of the Knee Group of Hospital Maria Amélia Lins, FHEMIG, Belo Horizonte, MG, Brazil.
  2. Orthopedist and Traumatologist; Specialist in Pediatric Orthopedics at Hospital Maria Amélia Lins, FHEMIG, Belo Horizonte, MG, Brazil.
  3. Orthopedist and Traumatologist; Member of the Knee Group of Hospital Maria Amélia Lins, FHEMIG, Belo Horizonte, MG, Brazil.
  4. Resident Physician in Orthopedics and Traumatology, Hospital Maria Amélia Lins, FHEMIG, Belo Horizonte, MG, Brazil.

PMID: 31304149 PMCID: PMC6565979 DOI: 10.1016/j.rboe.2012.11.003

Abstract

OBJECTIVE: With the objective of identifying the incidence of ipsilateral knee ligament injury, thirty-six patients with femoral shaft fractures were evaluated.

METHODS: During the osteosynthesis procedure to repair the femur while under anesthesia, all patients underwent a physical examination and X-ray examination.

RESULTS: The most common mechanism of injury observed was motorcycle accidents. Of the thirty-six patients that were studied, eleven patients (30.5%) had a knee ligament injury. Of the eleven patients, 64% had a cruciate ligament injury. The ligament injury was not treated at the time of the osteosynthesis procedure.

CONCLUSION: We highlight the difficulty of diagnosis at the time of admission and the need for systematic physical examination before and after surgical treatment of femoral fracture.

Keywords: Femur; Fractures; Knee; Ligaments

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