$displaced intertrochanteric fracture$ $displaced intertrochanteric fracture$

Intertrochanteric fracture of the ankylosed hip joint treated by a gamma nail: a case report. 2 2 Ishimaru D, Nozawa S, Maeda M, Shimizu K. The fracture was unstable because of the fusion of the hip joint proximal to the fracture site and the presence of the long distal lever arm of the lower extremity.

$displaced intertrochanteric fracture$

The non-operative management is associated with many complications related to prolonged immobilization, and surgery is the best option if the patient is physiologically fine. Intertrochanteric fractures of the femur in ankylosed hips are extremely rare, and there are only a few cases reported in the literature.

$displaced intertrochanteric fracture$

1).Īfter one and a half year of the operation: the fracture is united, and the implants are in situ. A small plate was observed in situ on the acetabular region with a non-displaced fracture of the intertrochanteric region of the femur ( Fig. The radiograph of the pelvis showed avascular necrosis with doubtful infective features on the femoral head, with the presence of an ankylosed hip. The muscles around the hip region were atrophic. He had also been submitted to treatment for a colon cancer a few years back. The patient was being treated for hypertension and hyperlipidemia.

$displaced intertrochanteric fracture$

He had been operated on the right hip about 20 years before, and had since then been walking with the aid of a walker and limping. No radiating pain and numbness were present, and the patient was not able to walk or to bear weight due to pain. Mild swelling was present on the right intertrochanteric region with some ecchymosis. Upon examination, there was tenderness on the right greater trochanteric region and inability to actively raise the right lower limb. Case ReportĪ 74-year-old man presented to the accident and emergency department with pain on the right hip since one day after a fall. We report a case of intertrochanteric fracture of the femur in an ankylosed hip treated by dynamic hip screws (DHSs). J Bone Joint Surg Br 2007 89(03):390-392 therefore, there is little available information in the literature regarding these fractures in ankylosed hip joints. Intertrochanteric fracture of an arthrodesed hip. Case Rep Orthop 2012 2012:278156, 3 3 Manzotti A, Confalonieri N, Pullen C. Only a few cases have been reported in the literature regarding intertrochanteric fractures of the femur with an ankylosed hip, 2 2 Ishimaru D, Nozawa S, Maeda M, Shimizu K. J Orthop Trauma 2009 23(06):460-464 Surgical management is generally the ideal treatment for elderly patients with intertrochanteric fractures, and the aims of it are to prevent general complications, to maintain mobility, and to relieve pain. Gamma nails revisited: gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip: a meta-analysis. 1 1 Bhandari M, Schemitsch E, Jönsson A, Zlowodzki M, Haidukewych GJ. The incidence of hip fracture has been increasing as the population ages, and about 50% of hip fractures are intertrochanteric fractures.

$displaced intertrochanteric fracture$

Displaced intertrochanteric fracture