Introduction
Femoral fractures are frequently seen in adolescents, particularly adolescents who participate in sports activities. In this case study, the successful treatment of a mid-shaft femur fracture in a 17-year-old male patient presented at Anand Spectrum Hospital is described. The successful use of intramedullary nailing enabled quick recovery, suggesting best practices for orthopedic trauma management.
Patient Presentation
Demographics
- Age: 17 years
- Gender: Male
Mechanism of Injury
The patient developed a right femur fracture due to a direct blow to the thigh.
Clinical Assessment
On arrival at Anand Spectrum Hospital, the patient presented with the following:
- Symptoms: Extreme pain and inability to walk on the right leg.
- Physical Examination:
- Excessive swelling and tenderness over the right thigh.
- Deformity and shortening of the limb.
- Restricted range of motion in the hip and knee joints.
Diagnostic Imaging
X-rays revealed a displaced mid-shaft fracture of the right femur, which was treated surgically.
Surgical Management
Procedure
The patient was operated upon the next day after admission. The surgery involved:
Intramedullary Nailing:
- The operation was done under general anesthesia.
- A lateral incision was used to expose the femur.
- An intramedullary nail was placed in order to reduce and stabilize the fracture.
- Locking screws were used in order to provide stability and support the healing process.
Postoperative Care
After surgery, the patient was closely observed for:
- Pain Management: Given oral analgesics to manage the level of pain.
- Complication Monitoring: Continuous monitoring for infection and neurovascular status.
- Early Mobilization: Physiotherapy started to promote mobility and avoid stiffness.
Discharge
The patient was discharged on the second day after surgery in stable condition. Discharge instructions were:
- Weight-Bearing Precautions: Instructing on crutches to aid mobility.
- Follow-Up Appointments: Scheduled for suture removal and observation of the healing process.
Follow-Up and Outcome
The patient had minimal discomfort at the one-week follow-up and had regained some mobility. There were early signs of callus formation on repeat X-rays, which was indicative of good healing. It was advised to gradually resume activity with ongoing physiotherapy assistance.
Discussion
Intramedullary nailing is one commonly used method for the treatment of femoral fractures in teenagers. It has a number of benefits, such as lesser recovery time and minor scarring. The case emphasizes the role of immediate surgery and proper postoperative management, which are important in attaining the best recovery results.
Conclusion
This case study at Anand Spectrum Hospital underscores the successful management of femur fracture in a young patient through early surgical intervention and extensive postoperative care. The success of the case underlines the hospital’s dedication to quality orthopedic services and the need for specialized care in children and adolescents.