case_images: PMC6560987_01
case_images: PMC6560987_02
case_images: (A) the right femoral head was dislocated anteroinferiorly with a displaced contralateral proximal femoral fracture; (B) the right dislocated hip was reduced; (C) as shown in the anteroposterior (AP) view of pelvic. AP view of femurs shows the right transverse femoral shaft fracture and proximal and distal femoral bifocal fractures of the left femur
case_images: PAMJ-32-88-g001.jpg
case_images: PMC6560987_02_PAMJ-32-88-g001.jpg
case_images: f0001
case_images: The ipsilateral femoral shaft showed a transverse femoral shaft fracture, and proximal and distal femoral bifocal fractures of the contralateral femur (Figure 1).
case_images: (A) the left and right femoral shaft fracture was fixed with proximal humerus internal locking system and straight plate and screws respectively (B) and the distal femoral fracture was fixed with Kirschner wires
case_images: PAMJ-32-88-g002.jpg
case_images: PMC6560987_02_PAMJ-32-88-g002.jpg
case_images: f0002
case_images: Intra- and post-operative radiographs confirmed excellent reduction of the fragments (Figure 2). For post-operative follow-ups, X-rays examinations were performed immediately after surgery (Figure 2), at 3 months (Figure 3), at 6 months (Figure 4), at 8 months (Figure 5).
case_images: (A,B) three months after the injury, the fractures healed well as shown in the pelvic view; (C) the Kirschner wire was removed from the left distal femur
case_images: PAMJ-32-88-g003.jpg
case_images: PMC6560987_02_PAMJ-32-88-g003.jpg
case_images: f0003
case_images: For post-operative follow-ups, X-rays examinations were performed immediately after surgery (Figure 2), at 3 months (Figure 3), at 6 months (Figure 4), at 8 months (Figure 5). At three months after the operation, the fractures were healed well and the Kirschner wire was removed from the left distal femur (Figure 3) and progressive weight bearing of the injured limb was allowed.
case_images: (A) six months after the injury, the fractures were healed and the shape of the right femoral head was irregular in the pelvic view; (B) the left proximal femoral fracture united and the shape of the left femoral head was normal
case_images: PAMJ-32-88-g004.jpg
case_images: PMC6560987_02_PAMJ-32-88-g004.jpg
case_images: f0004
case_images: For post-operative follow-ups, X-rays examinations were performed immediately after surgery (Figure 2), at 3 months (Figure 3), at 6 months (Figure 4), at 8 months (Figure 5). At 6 months after the first operation, the fractures were healed and all the hardware was removed (Figure 4).
case_images: (A) eight months after the injury, anteroposterior (AP) and lateral views of right femur showed that the fractures were healed; (B) AP and lateral views of left hip and knee showed that the left proximal femoral fracture; (C) and the left distal femoral fracture were united
case_images: PAMJ-32-88-g005.jpg
case_images: PMC6560987_02_PAMJ-32-88-g005.jpg
case_images: f0005
case_images: For post-operative follow-ups, X-rays examinations were performed immediately after surgery (Figure 2), at 3 months (Figure 3), at 6 months (Figure 4), at 8 months (Figure 5).