Primary repair for concurrent bilateral intertrochanteric fracture and femoral head necrosis with prolonged shank biologic total hip replacement: A case report and surgical techniques.
10.1016/j.cjtee.2022.12.002
- VernacularTitle:Primary repair for concurrent bilateral intertrochanteric fracture and femoral head necrosis with prolonged shank biologic total hip replacement: A case report and surgical techniques
- Author:
Yuan-Jie LIU
1
,
2
;
Jun-Tan LI
3
;
Yu-Yang GAO
3
;
Pei-Yan GUO
3
;
Tian-Xu DOU
3
;
Xu LI
2
,
4
Author Information
1. Department of Orthopedics, The First Hospital of China Medical University, Shen Yang, 110000, China. Electronic address: Liuyuanjie1994@
2. com.
3. Department of Orthopedics, The First Hospital of China Medical University, Shen Yang, 110000, China.
4. Department of Orthopedics, The First Hospital of China Medical University, Shen Yang, 110000, China. Electronic address: likyokucmu@
- Publication Type:Case Reports
- Keywords:
Bilateral;
Femoral head necrosis;
Greater trochanteric plate;
Intertrochanteric fracture;
Primary hip replacement
- MeSH:
Male;
Middle Aged;
Humans;
Arthroplasty, Replacement, Hip/methods*;
Femur Head/surgery*;
Femur Head Necrosis/surgery*;
Fracture Fixation, Internal/methods*;
Hip Fractures/surgery*;
Biological Products;
Treatment Outcome;
Retrospective Studies
- From:
Chinese Journal of Traumatology
2023;26(3):183-186
- CountryChina
- Language:English
-
Abstract:
For the treatment of an intertrochanteric fracture combined with femoral head necrosis in middle-age patients, it has been controversial whether to perform fracture reduction and fixation first then total hip replacement, or direct total hip replacement. We present a rare case of 53-year-old male patient suffered from bilateral intertrochanteric fracture caused by a road traffic injury. The patient had a history of femoral head necrosis for eight years, and the Harris score was 30. We performed total hip replacement with prolonged biologic shank prostheses for primary repair. One year after the surgery, nearly full range of motion was achieved without instability (active flexion angle of 110°, extension angle of 20°, adduction angle of 40°, abduction angle of 40°, internal rotation angle of 25°, and external rotation angle of 40°). The Harris score was 85. For the middle-aged patient with unstable intertrochanteric fractures and osteonecrosis of the femoral head, we can choose primary repair for concurrent bilateral intertrochanteric fracture and femoral head necrosis with prolonged shank biologic total hip replacement.
