Lower limb fractures in the chronic spinal cord injured patient

Experience in managing 33 lower limb fractures in 25 chronic spinal injured patients is described. An increased awareness among patients and medical staff is required to avoid misdiagnosis. Effort should be made to ensure bone union in satisfactory position, recognising the different requirements of...

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Bibliographic Details
Published in:Paraplegia 1989-04, Vol.27 (2), p.133-139
Main Authors: INGRAM, R. R, SUMAN, R. K, FREEMAN, P. A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Bone Nails
Cerebrospinal fluid. Meninges. Spinal cord
Chronic Disease
Femur - injuries
Femur Neck - injuries
Fractures, Bone - complications
Fractures, Bone - diagnostic imaging
Fractures, Bone - therapy
Humans
Leg Injuries - complications
Leg Injuries - diagnostic imaging
Leg Injuries - therapy
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neurology
Radiography
Spinal Cord Injuries - complications
Splints
Tibia - injuries
Traction
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Summary:Experience in managing 33 lower limb fractures in 25 chronic spinal injured patients is described. An increased awareness among patients and medical staff is required to avoid misdiagnosis. Effort should be made to ensure bone union in satisfactory position, recognising the different requirements of ambulant and non-ambulant patients. 'Soft pillow splints' were found to give the best results in all fractures other than those of the femoral neck. Operative treatment with antibiotic prophylaxis is only indicated to correct important deformity.
ISSN:0031-1758
1362-4393
1476-5624
DOI:10.1038/sc.1989.20