case_images: PMC11723721_01
case_images: (A) Pre-operative portable X-rays of the extremities indicated bilateral distal femur fractures- right femur - diaphyseal closed fracture, (B) left femur- intraarticular distal comminuted fracture, (C) a left distal radius-ulna fracture, and (D) a right mid-radius-ulna fracture and (E) X-ray and computed tomography scan showing posterior wall acetabular fracture right side.
case_images: JOCR-15-183-g001.jpg
case_images: PMC11723721_01_JOCR-15-183-g001.jpg
case_images: F1
case_images: Further imaging showed a Grade 3 liver injury, Grade 3 splenic injury, Grade 3 renal injury, undisplaced fracture of posterior wall of left acetabulam (Fig. 1e), and haemoperitoneum. Radiographs of extremities revealed bilateral distal femur fractures - closed diaphyseal right femur (Fig. 1a) with comminuted intra-articular left femur (Fig. 1b), left distal radius-ulna fracture (Fig. 1c), and right mid-shaft radius-ulna fracture (Fig. 1d).
case_images: (A) Post-operative X-rays of the right femur fixed with intramedullary nail, (B) left femur fracture fixed with distal femoral nail and retrograde intramedullary nail, (C) a right radius and ulna percutaneous titanium elastic nailing fixation, and (D) left distal end radius operated with open reduction and fixation with distal radius plate and TNS fixation of ulna fracture.
case_images: JOCR-15-183-g002.jpg
case_images: PMC11723721_01_JOCR-15-183-g002.jpg
case_images: F2
case_images: Open reduction with internal fixation of the left wrist was performed through distal radius plating and titanium elastic nail (TENS) fixation of the ulna, and percutaneous TENS fixation contralaterally of the left radius and ulna(Fig. 2).
case_images: (A) Post-operative X-rays of 1-year follow-up of the left femur fixed showing complete union, (B) right femur fracture showing union with good callus formation, (C) a right radius and ulna both united with titanium elastic nails nailing and (D) left distal end radius and ulna united, (E and F) pelvis with both hip anteroposterior and lateral view of right hip showing the union of acetabular fracture and (G) good union of rib fractures.
case_images: JOCR-15-183-g003.jpg
case_images: PMC11723721_01_JOCR-15-183-g003.jpg
case_images: F3
case_images: The fractures show good union at all fracture sites (Fig. 3).
case_images: (A and B) 1 -year follow-up clinical photos showing a good range of motion in bilateral wrist, (C and D) left elbow flexion and extension, (E and F) right elbow flexion and extension and (G and H) hip straight leg raising and flexion.
case_images: JOCR-15-183-g004.jpg
case_images: PMC11723721_01_JOCR-15-183-g004.jpg
case_images: F4
case_images: The patient has a full range of motion in bilateral hips, knees, elbows, and wrists (Fig. 4).