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Intertrochanteric Fracture With Broken Proximal Femoral Nail – A Case Report With Tips & Tricks


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1 KLE Academy of Higher Education & Research, J N Medical College, Belagavi, Karnataka, India
     

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Background: Intertrochanteric (IT) femur fractures comprise approximately half of all hip fractures caused by a lowenergy accident such as a fall from standing height. These fragile hip fractures occur in a characteristic population with risk factors including increasing age, female gender, osteoporosis, a history of falls, and gait abnormalities. Surgery is almost always the recommended treatment as the morbidity and mortality associated with non-operative treatment historically has been high.

Case Report: A 75-year-old male with left sided hemiplegia developed left intertrochanteric fracture after he fell as his own. He was treated with short proximal femoral nailing and was discharged. After 3 weeks he fell again and broke his implant with refracture. He was treated with implant removal and long proximal femoral locking compression plate with bone graft. After 6 months and 1 year of follow up, fracture was found united and the patient was walking comfortably.

Conclusion: The quality of fracture reduction is an important factor that affects the revision rate in patients with mechanical complications after proximal femoral nail (PFN) was used for trochanteric fractures.


Keywords

Intertrochanteric Fracture, Broken Proximal Femoral Nail, Proximal Femoral Locking Compression Plate.
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  • Intertrochanteric Fracture With Broken Proximal Femoral Nail – A Case Report With Tips & Tricks

Abstract Views: 283  |  PDF Views: 0

Authors

Sameer Haveri
KLE Academy of Higher Education & Research, J N Medical College, Belagavi, Karnataka, India
Pulkit Bandi
KLE Academy of Higher Education & Research, J N Medical College, Belagavi, Karnataka, India

Abstract


Background: Intertrochanteric (IT) femur fractures comprise approximately half of all hip fractures caused by a lowenergy accident such as a fall from standing height. These fragile hip fractures occur in a characteristic population with risk factors including increasing age, female gender, osteoporosis, a history of falls, and gait abnormalities. Surgery is almost always the recommended treatment as the morbidity and mortality associated with non-operative treatment historically has been high.

Case Report: A 75-year-old male with left sided hemiplegia developed left intertrochanteric fracture after he fell as his own. He was treated with short proximal femoral nailing and was discharged. After 3 weeks he fell again and broke his implant with refracture. He was treated with implant removal and long proximal femoral locking compression plate with bone graft. After 6 months and 1 year of follow up, fracture was found united and the patient was walking comfortably.

Conclusion: The quality of fracture reduction is an important factor that affects the revision rate in patients with mechanical complications after proximal femoral nail (PFN) was used for trochanteric fractures.


Keywords


Intertrochanteric Fracture, Broken Proximal Femoral Nail, Proximal Femoral Locking Compression Plate.

References