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Thread: Subcapital fracture of the right femur

  1. #1

    Subcapital fracture of the right femur

    Was asked to post this, will relay any questions.

    I have been injured for the past 32 1/2 years with a C4 C5 spinal cord injury. I recently sustained a subcapital fracture of the right femur (now displaced), and I have had a consultation with an orthopedic specialist of sports medicine. He said I could try to leave as is and deal with the unbearable pain indefinitely, with risks of tissue trauma and possible infection; or my second option was an option of last resort that entails a procedure known as, ?Griddle Stone Procedure?. Whereby the entire ball of the femur is removed, followed by months of traction and rehab.
    At this point reaching to see if anyone has had similar injuries and resolution.

  2. #2
    i copied a few prior threads from Carecure about the Girdlestone Procedure for you to read.


    http://sci.rutgers.edu/forum/showthr...-Dr-Wise-nurse

    http://sci.rutgers.edu/forum/showthr...estone-surgery

    http://sci.rutgers.edu/forum/showthr...tone-procedure


    This an an outcomes study in patients who had the Girdlestone procedure:

    https://www.ncbi.nlm.nih.gov/pubmed/26808772


    This is a post-op X-ray of someone who underwent a right-sided Girdlestone surgery:

    http://roentgenrayreader.blogspot.co...hroplasty.html


    And just for the sake of history, a bit about the good Doctor himself-

    https://en.wikipedia.org/wiki/Gathor...rt_Girdlestone

    I hope that everything works out well for you.

  3. #3
    Seems like you have an incomplete injury. Mine is complete, so it's different. I broke the neck of the femur. The ball is still in the socket. Several doctors said do nothing. Because I can't feel it or use it, there is nothing to gain. Combine that factor with the risk factor of re-injuring the surgical wound before it heals (because I can't feel if I am damaging it), and no doctor would recommend surgery. In your case, if you can feel it, then it may justify the surgery and also mitigate the risk of re-injury.

  4. #4
    Quote Originally Posted by August West View Post
    Seems like you have an incomplete injury. Mine is complete, so it's different. I broke the neck of the femur. The ball is still in the socket. Several doctors said do nothing. Because I can't feel it or use it, there is nothing to gain. Combine that factor with the risk factor of re-injuring the surgical wound before it heals (because I can't feel if I am damaging it), and no doctor would recommend surgery. In your case, if you can feel it, then it may justify the surgery and also mitigate the risk of re-injury.
    I had a Girdlestone procedure, proximal femur removed 3 years ago to deal with chronic osteomyelitis. I'm told the procedure saved my life. On the other hand it's made my left leg useless in transfers, considerably affecting my independence. So it goes with long-term paraplegia. - fw

  5. #5
    Make sure you get support from a rehab team post op
    (I'm sure in the referenced care cure posts you will find it)
    the most important part is getting a new cushion for your wheelchair so you are properly supported because your pelvis and seating is remodeled.

    keep us posted
    pbr
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  6. #6
    Senior Member pfcs49's Avatar
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    Aug 2013
    Location
    NW NJ ***********T12 cmplt since 95
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    Jim-I don't have anything for your situation except to say I can identify with the grief you have when you body shits all over you.
    You seem to be having far too many encounters with the medical people lately.
    My mottos, this too shall pass, and it will get better, have been tested by me lately.
    Hang in!
    69yo male T12 complete since 1995
    NW NJ

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