A 20-year-old @entity1 was admitted to our hospital having sustianed bilateral high-energy @entity3330 . The right femoral @entity174 was an open grade 3B with OTA grade 3 @entity604 . The @entity1 had also a @entity131 with a subdural haematoma and a closed @entity174 of the left clavicle. Initial management included temporarily stabilisation of the @entity3330 wth external fixators and prompt transfer to the intensive care unit. Three weeks later the external fixator of the right femur was converted to an hybrid system, and the fixator of the left side was removed and a reamed intramedullary locking nail was applied. Two months after the accident the @entity1 underwent bone transport (11 cm long) of the right femur with an monolateral external fixation. When the final length was achieved there were knee stiffness (ROM 0   to 30  ) and non-union of the docking site. Therefore, the @entity1 underwent a Judet's procedure to treat the knee stiffness and stabilisation of the non united femur with a locking plate (LISS). After the operation the @entity1 started progressive weight bearing. A year after @entity130 and following union of the femur, the @entity1 underwent soft tissue reconstruction of the anterior side of the thigh with a free vascularised flap. At final follow upo the @entity1 had a good functional recovery with return to his previous occupation.

The treatment of femoral XXXX by axial external fixation and susbequent locking plate application: a case report.

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity131 :: ('MESH:D001930', 'Disease') :: ['brain contusion'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity604 :: ('MESH:D016301', 'Disease') :: ['bone loss'] @entity3330 :: ('MESH:D005264', 'Disease') :: ['femoral fractures'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity604 :: (MESH:D016301,Disease) :: ['bone loss']
