ORIGINAL ARTICLE |
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Year : 2022 | Volume
: 35
| Issue : 2 | Page : 880-883 |
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Prevalence of ipsilateral knee ligament injuries associated with femoral shaft fractures in Menoufia University Hospitals
Bahaa Z Hasan1, Taher Abdel-Sattar Eid1, Khaled Abdel-Mageed Abdel-Sattar Shreef2, Emad B Badawy1
1 Department of Orthopedics and Traumatology, Faculty of Medicine, Student Hospital, Menoufia University, Menoufia, Egypt 2 Department of Orthopedic Surgery, Student Hospital, Menoufia University, Menoufia, Egypt
Correspondence Address:
Khaled Abdel-Mageed Abdel-Sattar Shreef Student Hospital, Menoufia University, Menoufia Governorate Egypt
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/mmj.mmj_234_21
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Objective
This study was designed to estimate the prevalence of ipsilateral knee ligament injuries associated with fracture shaft femur in Menoufia University Hospitals.
Background
Ipsilateral knee ligament injuries associated with femoral shaft fractures are a common finding but can be easily missed during early management of initial trauma.
Patients and methods
After femoral fixation with intramedullary rod placement, external fixation, or plate fixation, all patients underwent a thorough physical examination of the involved limb including varus and valgus stress tests, Lachman test, anterior drawer test, and posterior drawer test, under anesthesia. Clinical assessments were performed and compared with the contralateral knee.
Results
The most common mechanism of injury observed was RTA. Of the 44 patients who were studied, 15 (34.1%) patients had a knee ligament injury. Of the 15 patients, 47% had a cruciate ligament injury. The ligament injury was not treated at the time of the osteosynthesis procedure.
Conclusion
We highlight the difficulty of diagnosis of ipsilateral knee ligament injuries at the time of admission and the need for systemic physical examination after surgical treatment of femoral fractures.
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