PROBLEM

A 6 year old girl was involved in a major road accident in which both her parents and her grand father expired. She was badly injured and was in a state of mental shock.She was initially treated at a nearby hospital. X-rays revealed fracture of the right humerus (arm bone) and the left femur (thigh bone)

XR Right Humerus

XR Left Femur - AP,Lat.

The right arm was splinted in a plaster slab and she was shifted to our hospital for further treatment. Further investigation revealed that an important fracture in the left hip had been missed because of inadequate x-rays. This changed the whole course of treatment

Fracture neck of left Femur

TREATMENT

Under GA, the left femur shaft fracture was fixed with a plate and screws. The fracture neck of left femur was reduced closed and fixed with Austin- Moore pins. The left hip was then immobilized in a plaster hip spica. The right humerus fracture was reduced closed and immobilized in a U-slab

Closed reduction and immobilasation in U-slab

Open reduction and plate fixation

Closed reduction, percutaneous pins fixation

RESULTS

She was regularly followed- up. At the end of 10 weeks, all the fractures had united well. The hip spica and the U-slab were removed.

Union of Humerus fracture

Union of Femur neck, shaft fractures

CLINICAL RESULTS

She is walking well without any support. Her hip and shoulder movements are full. She is being taken care of by her relatives and, being a child, the trauma of having lost both her parents has lifted from her mind

Clinical Results