A High-Energy Military Femoral Fracture With Multidrug-Resistant Infection: A Case Report.
Andris Vikmanis, Olegs Ribakovs, Anete Labalaika
✦ AI-curated · Sources linked
Case in brief
A 37-year-old military man presented with a high-energy femoral fracture complicated by a multidrug-resistant infection. After multiple debridement procedures and the use of an external fixation device, he underwent reconstruction using the Masquelet induced membrane technique. Due to complications, including limb shortening and poor bone quality, he ultimately received a cementless left hip arthroplasty, achieving a favorable functional outcome at 2-year follow-up.
Diagnostic / clinical pearl
The Masquelet induced membrane technique can be effective in managing complex bone defects, especially in cases complicated by multidrug-resistant infections.
Why it matters
This case highlights the importance of individualized antimicrobial therapy and staged orthopedic management in achieving positive outcomes in challenging trauma cases.