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Patients with femoral fractures classified as AO 31.A3 multiple concomitant fractures, pathological fractures, active infection in the surgical site, history of previous fractures resolved with a reduced function, or residing outside the geographical region of the treating hospital were excluded from this study.
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Risk factors include low-energy fractures, impaction, metaphyseal fractures, concomitant fractures of the distal ulna shaft and concomitant DRUJ lesion combined with a medical condition compromising bone healing.
None of them had concomitant fractures and in 18 patients a Hill-Sachs lesion was recorded.
Fortunately most elbow dislocations do not have concomitant fractures, and are termed "simple dislocations" [5].
It is widely accepted that joint depression fractures with concomitant fractures of the surrounding metaphyseal struts must be treated operatively.
Concomitant fractures were addressed; a pelvic external fixator was applied for the patient with the ischiopubic fracture and internal fixation performed for the ulna and patella fractures.
The fair result was probably attributed to concomitant fractures (two patients have ipsilateral AO type-C3 supracondylar femoral fracture and one has PCL avulsion) (Fig. 11).
Patients with pseudarthrosis, pathological fractures and refractures, open fractures, or concomitant fractures of the ipsilateral distal humerus or elbow were not included.
Patients with bilateral hip fractures were compared to those with a unilateral hip fracture, regarding general demographics (age, gender, ASA classification, type of fracture and treatment), prevalence and 1-year incidence of concomitant fractures.
Thirteen patients exhibited other concomitant fractures at the time of surgery: one patient with a coronoid fracture, two with a fracture of the radial head, and ten with fractures in other bones.
Concomitant fracture of the affected shoulder (n = 8).
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