Multi-stage treatment for malunion and avascular necrosis of the femoral head following reverse oblique pertrochanteric fracture: A case report and literature review
Femoral reverse oblique intertrochanteric fractures are successfully treated using intramedullary devices. Poor fracture reduction and the use of the inaproppriate implant can lead to implant failure and subsequent malunion or non-union.We present the case of a 21-year-old polytrauma female who, amo...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644022000802 |
| _version_ | 1818050590146560000 |
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| author | Przemyslaw T. Paradowski Kamil Sadzikowski Piotr Majewski Marek Szczepaniec |
| author_facet | Przemyslaw T. Paradowski Kamil Sadzikowski Piotr Majewski Marek Szczepaniec |
| author_sort | Przemyslaw T. Paradowski |
| collection | DOAJ |
| description | Femoral reverse oblique intertrochanteric fractures are successfully treated using intramedullary devices. Poor fracture reduction and the use of the inaproppriate implant can lead to implant failure and subsequent malunion or non-union.We present the case of a 21-year-old polytrauma female who, among other injuries, sustained a reverse oblique intertrochanteric fracture that was primarily operated on with the dynamic hip screw. After implant failure the patient developed malunion with bone defect and avascular necrosis of the femoral head. Successful salvage of the bone stock in the inter- and subtrochanteric region was achieved using the two-stage induced membrane technique. The uncemented total hip arthroplasty was performed to address the osteonecrosis of the femoral head. |
| first_indexed | 2024-12-10T10:55:53Z |
| format | Article |
| id | doaj.art-5a522714bd724d37be3c7b2fe8a18754 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-10T10:55:53Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-5a522714bd724d37be3c7b2fe8a187542022-12-22T01:51:53ZengElsevierTrauma Case Reports2352-64402022-10-0141100684Multi-stage treatment for malunion and avascular necrosis of the femoral head following reverse oblique pertrochanteric fracture: A case report and literature reviewPrzemyslaw T. Paradowski0Kamil Sadzikowski1Piotr Majewski2Marek Szczepaniec3Department of Orthopaedics and Traumatology, Jan Biziel University Hospital, Ujejskiego 75, PL-85-168 Bydgoszcz, Poland; Department of Surgical and Perioperative Sciences, Division of Orthopedics, Sunderby Research Unit, Umeå University, Sunderby Central Hospital of Norrbotten, SE-971 80 Luleå, Sweden; Clinical Epidemiology Unit, Orthopedics, Department of Clinical Sciences Lund, Lund University, SE-221 85 Lund, Sweden; Corresponding author at: Department of Surgical and Perioperative Sciences, Division of Orthopedics, Sunderby Research Unit, Umeå University, Sunderby Central Hospital of Norrbotten, SE-971 80 Luleå, Sweden.Department of Orthopaedics and Traumatology, Jan Biziel University Hospital, Ujejskiego 75, PL-85-168 Bydgoszcz, PolandDepartment of Orthopaedics and Traumatology, Jan Biziel University Hospital, Ujejskiego 75, PL-85-168 Bydgoszcz, PolandDepartment of Orthopaedics and Traumatology, Jan Biziel University Hospital, Ujejskiego 75, PL-85-168 Bydgoszcz, PolandFemoral reverse oblique intertrochanteric fractures are successfully treated using intramedullary devices. Poor fracture reduction and the use of the inaproppriate implant can lead to implant failure and subsequent malunion or non-union.We present the case of a 21-year-old polytrauma female who, among other injuries, sustained a reverse oblique intertrochanteric fracture that was primarily operated on with the dynamic hip screw. After implant failure the patient developed malunion with bone defect and avascular necrosis of the femoral head. Successful salvage of the bone stock in the inter- and subtrochanteric region was achieved using the two-stage induced membrane technique. The uncemented total hip arthroplasty was performed to address the osteonecrosis of the femoral head.http://www.sciencedirect.com/science/article/pii/S2352644022000802Induced membrane Masquelet techniqueBone defectReverse oblique intertrochanteric fractureOsteonecrosisFemoral head |
| spellingShingle | Przemyslaw T. Paradowski Kamil Sadzikowski Piotr Majewski Marek Szczepaniec Multi-stage treatment for malunion and avascular necrosis of the femoral head following reverse oblique pertrochanteric fracture: A case report and literature review Trauma Case Reports Induced membrane Masquelet technique Bone defect Reverse oblique intertrochanteric fracture Osteonecrosis Femoral head |
| title | Multi-stage treatment for malunion and avascular necrosis of the femoral head following reverse oblique pertrochanteric fracture: A case report and literature review |
| title_full | Multi-stage treatment for malunion and avascular necrosis of the femoral head following reverse oblique pertrochanteric fracture: A case report and literature review |
| title_fullStr | Multi-stage treatment for malunion and avascular necrosis of the femoral head following reverse oblique pertrochanteric fracture: A case report and literature review |
| title_full_unstemmed | Multi-stage treatment for malunion and avascular necrosis of the femoral head following reverse oblique pertrochanteric fracture: A case report and literature review |
| title_short | Multi-stage treatment for malunion and avascular necrosis of the femoral head following reverse oblique pertrochanteric fracture: A case report and literature review |
| title_sort | multi stage treatment for malunion and avascular necrosis of the femoral head following reverse oblique pertrochanteric fracture a case report and literature review |
| topic | Induced membrane Masquelet technique Bone defect Reverse oblique intertrochanteric fracture Osteonecrosis Femoral head |
| url | http://www.sciencedirect.com/science/article/pii/S2352644022000802 |
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