{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T22:40:01Z","timestamp":1725576001373},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JOCR"],"published-print":{"date-parts":[[2022]]},"abstract":"<jats:p>Introduction:A \u201cdouble segmental\u201d fracture is an injury pattern that has three fracture sites and four fracture segments in a single bone. It is extremely rare, with only three \u201cDouble segmental femoral fracture\u201d and only four \u201cdouble segmental tibia fracture\u201d cases reported in the literature. These fractures are associated with difficulty in deciding the implant for fixation, segment reduction, maintenance of reduction, maintaining blood supply of segment during fixation, and the high risk of post-operative complications.  Case Report:We present two unique cases, one of \u201cdouble segmental femur fracture\u201d and the other of \u201cdouble segmental tibia fracture,\u201d fixed with intramedullary nailing. When Schanz screw or Steinman pins were used to reduce the intermediate fragments and hold them in place, they interfered with the reaming due to the protruding part in the narrow canal. This problem could be solved using weber clamps to hold reduction as they do not obscure the canal. All the fractures united uneventfully at 9 months follow-up.  Conclusion: A \u201csingle intramedullary device\u201d to fix \u201call the segments\u201d can help provide stabilization without compromising soft-tissue attachments and viability of the intermediate fracture segments in \u201cdouble segmental\u201d fractures.  Keywords: Double segmental fracture, intramedullary nailing, trifocal fracture, femur, tibia, fracture.<\/jats:p>","DOI":"10.13107\/jocr.2022.v12.i02.2652","type":"journal-article","created":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T01:31:17Z","timestamp":1657243877000},"page":"30-33","source":"Crossref","is-referenced-by-count":1,"title":["Double Trouble of \u201cDouble Segmental\u201d Fractures \u2013 A Report of Two Cases"],"prefix":"10.13107","volume":"12","author":[{"given":"Nitish","family":"Bansal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gitesh","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Punit","family":"Tiwari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harmeet","family":"Kaur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2022]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T01:31:19Z","timestamp":1657243879000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2022\/02\/10\/double-trouble-of-double-segmental-fractures-a-report-of-two-cases\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":0,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2022]]},"published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2022.v12.i02.2652","relation":{},"ISSN":["2250-0685","2321-3817"],"issn-type":[{"value":"2250-0685","type":"print"},{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022]]}}}