title: [Treatment of open femur fracture with critical bone loss of femoral shaft in politrauma patient--case report].
abstract: The authors describe the case of a 21 year old patient who suffered an politrauma injury in a traffic accident (motorcyclist).
  
  
  OBJECTIVE
  Presentation of possiblities of treatment femur bone fracture with critical bone loss using intramedullary nail.
  
  
  METHODS
  Patients's Injury included: fractures of the femur, temporal bone, and ulna. The patient's Severity Score (ISS) was 24. The dominant trauma fracture was open, comminuted fracture of femur shaft (AO 32-C2, Anderson-Gustilo IIIa) with bone loss stated as critical (loss of femoral shaft over 10 cm, including the loss of more than 50% of the circumference was about 8 cm length, and the loss of the full circumference of more than two branches of the missing bone). Osteosynthesisnad bone length reconstruction of the femur was with use of intramedullary locking nail.
  
  
  RESULTS
  Full reconstruction was regenerated after 12 months. Although there was extensive injury no local and general complications appeared.
  
  
  CONCLUSIONS
  Early definitive fracture stabilization and secondary dynamisation possible to obtain the bone regeneration at the defect site.
authors.affiliation: Oddział Chirurgii Ortopedyczno-Urazowej, Specjalistyczny Szpital im. Stefana Zeromskiego w Krakowie. pawelskowronek@interia.pl
authors.forename: Paweł
authors.initials: P
authors.lastname: Skowronek
authors.forename: Julian
authors.initials: J
authors.lastname: Dutka
authors.forename: Michał
authors.initials: M
authors.lastname: Skowronek
authors.forename: Łukasz
authors.initials: Ł
authors.lastname: Dutka
mesh_terms: D020341:Absorbable Implants; D000063:Accidents, Traffic; D001858:Bone Nails; D005264:Femoral Fractures / Q000503:physiopathology / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D017102:Fracture Healing; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D008297:Male; D020127:Recovery of Function; D016896:Treatment Outcome; D055815:Young Adult