unusual foreign bone fragment in femoral open fracture

conclusions surgical and post-surgical findings showed that this segment was not related to the patient’s femur. the foreign segment may have belonged to the other victim of this trauma. introduction femoral shaft fracture is one of the typical bone fractures due to high energy trauma and may occur as an open fracture. some foreign materials may enter the fracture site such as sand, cloth particles and so on. case presentation a 28-year-old motorcycle riding military member and his collaborator were received in the hospital because of multiple traumas due to a fall in a hollow during a surveillance mission. his collaborator died because of head trauma and multiple severe open fractures. when fixing the patients femoral fracture, a large femoral butterfly fragment was removed from the patient’s thigh as a foreign segment. the patient’s femur was fixed with a plate and screws. no femoral defect was detected during surgery or post-operative x-rays and ct scan. the removed segment was not a part of the patient’s femur.