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The whole approach to nursing and surgical management (anaesthesia, positioning, fracture reduction and wound care) had to be modified, taking great care to protect the skin at any cost, therefore reducing the risk of a surgical site infection which would be catastrophic. The management of this patient can set a framework that can be followed in similar cases, aiming for a favourable outcome of such challenging, rare conditions.<\/jats:p>","DOI":"10.1136\/bcr-2020-238483","type":"journal-article","created":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T16:17:34Z","timestamp":1611591454000},"page":"e238483","update-policy":"http:\/\/dx.doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Reverse oblique proximal femoral fracture in dystrophic epidermolysis bullosa: challenges and recommendations"],"prefix":"10.1136","volume":"14","author":[{"given":"Vasileios P","family":"Giannoudis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michalis","family":"Panteli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Aderinto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter V","family":"Giannoudis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,1,25]]},"reference":[{"key":"2021012507301373000_14.1.e238483.1","doi-asserted-by":"crossref","DOI":"10.1186\/s12891-018-2120-9","article-title":"Suboptimal outcomes after closed reduction and internal fixation of displaced femoral neck fractures in middle-aged patients: is internal fixation adequate in this age group?","volume":"19","author":"Wang","year":"2018","journal-title":"BMC Musculoskelet Disord"},{"key":"2021012507301373000_14.1.e238483.2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-007-0053-y"},{"key":"2021012507301373000_14.1.e238483.3","doi-asserted-by":"publisher","DOI":"10.4161\/biom.22905"},{"key":"2021012507301373000_14.1.e238483.4","first-page":"1937","article-title":"Skin complications of orthopedic procedures and devices","volume":"47","author":"Azizian","year":"2018","journal-title":"Iran J Public Health"},{"key":"2021012507301373000_14.1.e238483.5","unstructured":"Pfendner EG , Lucky AW . 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