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![fig 2b](http://www.Disaster-RX.com/wp-content/uploads/2012/02/fig-2b-150x150.jpg)
![fig 3](http://www.Disaster-RX.com/wp-content/uploads/2012/02/fig-3-150x150.jpg)
The surgeon immediately recognized that Spc Walsh had a closed left hip fracture dislocation and without delay attempted a manual closed reduction. Unfortunately, this was not successful, even with the patient under anesthesia. The surgeon then attempted another closed reduction, this time with a Steinmann pin placed in the proximal femur. The fracture, however, was found to be irreducible.
The surgeon decided to perform an open reduction with internal fixation of the Pipkin 2 femoral head fracture.
![fig 4](http://www.Disaster-RX.com/wp-content/uploads/2012/02/fig-4-150x150.jpg)
![fig 5](http://www.Disaster-RX.com/wp-content/uploads/2012/02/fig-5-150x150.jpg)
The patient was then transported by aeromedical evacuation back to his home country where he reportedly went on to complete his healing and recovery without significant complication.buy essays online