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Fracture of pubic rami during hip fracture fixation: a rare case of traction table–related injury
  1. Austin Gomindes1,2,
  2. Mohammedabbas Remtulla1,
  3. Julian Cooper1 and
  4. Anastasios P Nikolaides1
  1. 1Department of Trauma and Orthopaedics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
  2. 2University of Edinburgh Division of Clinical and Surgical Sciences, Edinburgh, UK
  1. Correspondence to Dr Austin Gomindes; Austin.gomindes{at}


We present a case of an elderly and comorbid patient who was scheduled to undergo a hip fracture fixation using an intramedullary nail. Unfortunately, this was delayed by 3 weeks as the patient was unfit to undergo this procedure. She was placed onto the traction table and intraoperatively sustained a superior and inferior pubic rami fracture while attempting reduction on the traction table. Closed-reduction techniques using traction tables and perineal posts are not without morbidity. Risk factors such as osteoporosis and delayed-fixation should be accounted for when managing this complex and often frail group of patients.

  • geriatric medicine
  • orthopaedics
  • osteoporosis
  • orthopaedic and trauma surgery

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  • Contributors All authors (ARG, MR, JC, AN) significantly contributed towards protocol design. AN, MR and ARG were involved in the initial planning and discussion. ARG collected the clinical data used for this report and along with MR designed and presented the draft of the initial manuscript. JC and AN were involved in patient care and were able to guide and supervise the report. And all authors significantly contributed to writing and formulation of the final manuscript. All authors agreed the final submitted version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.