Subtrochanteric femur fracture with pre-existing ipsilateral hip arthritis treated with long stem total hip arthroplasty: a case report

M. Faisal; Padmanabh N. Kukde; Akshay J. Atilkar; Vivek O. Maurya

doi:10.18203/issn.2455-4510.IntJResOrthop20251822

Authors

M. Faisal Department of Orthopaedics, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
Padmanabh N. Kukde Department of Orthopaedics, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
Akshay J. Atilkar Department of Orthopaedics, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
Vivek O. Maurya Department of Orthopaedics, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20251822

Keywords:

Subtrochanteric femur fracture, Hip arthritis, Long stem total hip arthroplasty

Abstract

High velocity trauma involving fractures of lower limbs is one of the most common causes of morbidities in young and working population in developing countries. Amongst these injuries, subtrochanteric femur fractures are the one that cause significant impact on the lifestyle. The strong deforming forces across the fracture makes it difficult to achieve the reduction. The entire outcome depends on the adequate reduction and the stable fixation of the fracture. The longer duration required for the recovery causes significant morbidity and imparts financial burden on the families. Additionally, the presence of hip arthritis worsens the situation and limits the use of implants like intra-medullary nails. Arthroplasty has been defined in the literature for such situations. Arthroplasty remains one of the good options in such patients that address both fracture as well as arthritis providing a stable, mobile and painless hip. Here, we report a case of hip arthritis with subtrochanteric femur fracture treated with total hip arthroplasty.

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References

Sahdeva P, Lacqua MJ, Singh B, Dogra TD. Road traffi c fatalities in Delhi: causes, injury pattern and incidence of preventable deaths, accident analysis and prevention. Accid Anal Prev. 1994;26(3):377-84. DOI: https://doi.org/10.1016/0001-4575(94)90011-6

Jagnoor J. Road traffic injury prevention: a public health challenge. Indian J Community Med. 2006;31(3):129-31.

Babcock S, Kellam JF. Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly Patients. Adv Orthop. 2018;2018:1912762. DOI: https://doi.org/10.1155/2018/1912762

Lo YC, Su YP, Hsieh CP, Huang CH. Augmentation Plate Fixation for Treating Subtrochanteric Fracture Nonunion. Indian J Orthop. 2019;53(2):246-50. DOI: https://doi.org/10.4103/ortho.IJOrtho_476_17

Egol KA. Subtrochanteric femur fracture below an arthritic hip: opinion: open reduction and internal fixation in conjunction with total hip arthroplasty. J Orthop Trauma. 2005;19(1):60-61. DOI: https://doi.org/10.1097/00005131-200501000-00012

Azar MD, Frederick M, Beaty MD, James H, Daugherty K, Jones L. Campbell’s operative Orthopaedics, 4th edit, vol 4. 2020.

Koval KJ. Subtrochanteric femur fracture below an arthritic hip: opinion: open reduction and internal fixation. J Orthop Trauma. 2005;19(1):61-6. DOI: https://doi.org/10.1097/00005131-200501000-00013

Weiss RJ, Kärrholm J, Hailer NP, Beckman MO, Stark A. Salvage of failed trochanteric and subtrochanteric fractures using a distally fixed, modular, uncemented hip revision stem. Acta Orthop. 2012;83(5):488-92. DOI: https://doi.org/10.3109/17453674.2012.733917

Haidukewych GJ, Berry DJ. Hip arthroplasty for salvage of failed treatment of intertrochanteric hip fractures. Clin Orthop Relat Res. 2003;85(5):899-904. DOI: https://doi.org/10.2106/00004623-200305000-00019

Haentjens P, Lamraski G. Endoprosthetic replacement of unstable, comminuted intertrochanteric fracture of the femur in the elderly, osteoporotic patient: a review. Disabil Rehabil. 2005;27(18-19):1167-80. DOI: https://doi.org/10.1080/09638280500055966

Tsakotos GA, Koutsostathis SD, Macheras GA. Treatment of a femoral shaft fracture in a patient with congenital hip disease: a case report. J Med Case Rep. 2010;4:221. DOI: https://doi.org/10.1186/1752-1947-4-221

Deleanu B, Prejbeanu R, Crisan D, Vermesan D, Predescu V, Tsiridis E. Combined bilateral femoral head necrosis and pertrochanteric fracture: a case report. J Medical Case Rep. 2015,9:25. DOI: https://doi.org/10.1186/1752-1947-9-25

Iga T, Kato K, Karita T. Subtrochanteric Fracture of the Femur Accompanying Pre-existing Ipsilateral Osteoarthritis of the Hip Successfully Treated with Intramedullary Nailing in the Lateral Decubitus Position: A Case Report. Cureus. 2018;10(7):e3081. DOI: https://doi.org/10.7759/cureus.3081