ABSTRACT
CASE: An 85-year-old woman with a history of bladder mesh sling placement sustained a pelvic fracture and extraperitoneal bladder rupture after a ground-level fall. The patient underwent cystorrhaphy and percutaneous anterior column screw placement. Free air was identified on abdominal computed tomography scan on postoperative day 5. Exploratory laparotomy revealed a sigmoid colon perforation and extensive bowel adhesions to the anterior pelvis. CONCLUSION: This is the first report describing bowel injury and associated bladder rupture in a pelvic fragility fracture related to a prior bladder mesh sling. This case highlights the importance of obtaining a thorough surgical history when treating pelvic injuries.
Subject(s)
Abdominal Injuries , Fractures, Bone , Intestinal Perforation , Pelvic Bones , Female , Humans , Aged, 80 and over , Urinary Bladder/diagnostic imaging , Urinary Bladder/surgery , Urinary Bladder/injuries , Pelvic Bones/diagnostic imaging , Pelvic Bones/surgery , Fractures, Bone/complications , Intestinal Perforation/diagnostic imaging , Intestinal Perforation/etiology , Intestinal Perforation/surgery , Abdominal Injuries/complications , Abdominal Injuries/surgeryABSTRACT
CASE: This case report discusses 2 cases of proximal femur peri-implant fractures after the use of lateral locking plates for distal femur periprosthetic fractures. CONCLUSION: The use of locking plate technology for fixation of distal femur periprosthetic fractures is a common treatment modality. Although much has been reported regarding healing and complication rates of distal femoral periprosthetic fractures, little has been reported about peri-implant fractures subsequent to treatment using locking plates. We propose the importance of developing a method of fixation to protect the entire femur in osteoporotic patients sustaining distal femur periprosthetic fractures at the index surgery to avoid this complication.
