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Subject Area

Orthopedic Surgery

Article Type

Original Study

Abstract

Objective This study was designed to estimate the prevalence of ipsilateral knee ligament injuries associated with fracture shaft femur in Menoufia University Hospitals. Background Ipsilateral knee ligament injuries associated with femoral shaft fractures are a common finding but can be easily missed during early management of initial trauma. Patients and methods After femoral fixation with intramedullary rod placement, external fixation, or plate fixation, all patients underwent a thorough physical examination of the involved limb including varus and valgus stress tests, Lachman test, anterior drawer test, and posterior drawer test, under anesthesia. Clinical assessments were performed and compared with the contralateral knee. Results The most common mechanism of injury observed was RTA. Of the 44 patients who were studied, 15 (34.1%) patients had a knee ligament injury. Of the 15 patients, 47% had a cruciate ligament injury. The ligament injury was not treated at the time of the osteosynthesis procedure. Conclusion We highlight the difficulty of diagnosis of ipsilateral knee ligament injuries at the time of admission and the need for systemic physical examination after surgical treatment of femoral fractures.

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