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A Complication of Fractures of the Femur and Tibia

Otto E. Aufranc, MD; William N. Jones, MD; James E. Butler, MD

JAMA. 1970;213(13):2249-2253.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DR. STUART COPE: The patient is a 25-year-old man who was in an automobile accident in July 1967. He was brought in to a local hospital and examined. His injuries consisted of closed fractures of the right femur in its distal third (Fig 1, left), and closed fractures of the right tibia and fibula (Fig 1, right). His general condition was good. He had no head or trunk injuries. The results of his neurological examination were normal, and the circulation in his right lower extremity was intact. He was admitted to the hospital, and his right lower extremity was placed in balanced suspension, with a short leg cast incorporating a Kirschner wire in the proximal tibia. Twelve hours after admission he became comatose and dyspneic. During physical examination, petechial hemorrhages were noted on his chest. There was an abrupt fall in his hematocrit value and an abnormal x-ray film of . . . [Full Text PDF of this Article]

Author Affiliations
From the Fracture Clinic, Massachusetts General Hospital, Boston.

Footnotes
Reprint requests to Orthopedic Library and Teaching Office, White Bldg 5, Massachusetts General Hospital, Boston 02114.

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