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| Basant Repswal,Anuj Jain,Sunil Gupta,Aditya Aggarwal,Tushar Kohli,Devendra Pathrot.[J].Chin J Traumatol,2014,17(5):298-300. [doi] |
| Multiple bilateral lower limb fractures in a 2-year-old child: previously unreported injury with a unique mechanism |
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| DOI： |
| KeyWord: Multiple bilateral lower limb fractures Fall Child |
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| Author Name | Affiliation | | Basant Repswal | Department of Orthopaedics, UCMS and Associated
GTBH, Delhi, India | | Anuj Jain | Department of Orthopaedics, UCMS and Associated
GTBH, Delhi, India | | Sunil Gupta | Department of Orthopaedics, UCMS and Associated
GTBH, Delhi, India | | Aditya Aggarwal | Department of Orthopaedics, UCMS and Associated
GTBH, Delhi, India | | Tushar Kohli | Department of Orthopaedics, UCMS and Associated
GTBH, Delhi, India | | Devendra Pathrot | Department of Orthopaedics, UCMS and Associated
GTBH, Delhi, India |
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| Abstract: |
| Fall from height is a common cause of unintentional injuries in children and accounts for 6% of all
trauma-related childhood deaths, usually from head injury. We report a case of a 2-year-old child with multiple fractures of the bilateral lower limbs due to this reason. A child fell from
a height of around 15 feet after toppling from a balcony. He developed multiple fractures involving the right femoral shaft, right distal femoral epiphysis (Salter Harris type 2), right distal
metaphysis of the tibia and fibula, and undisplaced Salter Harris type 2 epiphyseal injury of the left distal tibia. There were no head, abdominal or spinal injuries. The patient was taken into
emergency operation theatre after initial management which consisted of intravenous fluids, blood transfusion, and splintage of both lower limbs. Fracture of the femoral shaft was treated by closed reduction and fixation using two titanium elastic nails. Distal femoral physeal injury required open reduction and fixation with K wires. Distal tibia fractures were closely reduced and managed nonoperatively in both the lower limbs. All the fractures united in four weeks. At the last follow-up, the child had no disability and was able to perform daily activities comfortably. We also proposed the unique mechanism of injury in this report. |
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