Femur Xray Case Study Pathological Fractures Orif Case Study

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Femur X-ray


Greg, a 58-year-old man, was presented complaining of intense pain on the upper side of his right leg and could barely walk. His medical history was recorded, with the most relevant being that Greg has undergone treatment for Hepatitis B, specifically using adefovir dipivoxil. He also had a six-month history of bone pain (Tanaka et al., 2012). Preliminary diagnosis necessitated a femur x-ray to establish possible fractures and open reduction and internal fixation (ORIF). Anteroposterior femur view was essential for an entire femur examination (Murphy & Jones, 2017). To achieve an accurate inclusion of the hip and knee joints. The femur x-ray identifies any foreign bodies, fractures, and dislocations with this view. Besides, this procedure would come in handy in case of prosthetic needs. During imaging, Greg was put in a supine position. The image detector was placed diagonal, ensuring that it remained parallel to the femur. Since fracture was suspected, the standard approach of rotating the lower limbs was avoided. Only minor rotations were made through assisted sandbags. 2APs and two laterals were done to capture the entire anatomy and look for injuries or pathology. Radiographic examination of the images revealed that Greg had life-threatening femoral shaft fractures (Tanaka et al., 2012).

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A further diagnosis was made to rule out the possibilities of ipsilateral fractures.
The results were positive,…

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…However, for the femur fractures, Greg received and Villanueva–Goldner counterstain and Villanueva bone stain. It was clear that despite Greg broken femur due to a minor accident, the fractures were primarily caused by Osteomalacia. His femur was weak and vulnerable. This placed Greg at a higher risk of other infections, needing more preventive measures. The ORIF procedure poses risks, such as possible bacterial infection, compromised motion, arthritis, and nerve damage. It is necessary to note that the internal fixation of the femur subjected Greg to a risk of shortened limb, which could constitute more complications. Accordingly, Greg was put on a weekly medical check routine to ensure no related complications arose. These check-ups were also crucial….....

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