Internal Fixation of an Intertrochanteric Fracture after Resurfacing Arthroplasty: A Case Report

INTRODUCTIONPeriprosthetic fracture is the most common cause of reoperation after resurfacing arthroplasty. The majority of fractures associated with this kind of arthroplasty are mostly subcapital fractures. Inter- and sub-trochanteric fractures after resurfacing arthroplasty are rarely reported, a...

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Veröffentlicht in:Journal of orthopaedic case reports 2020, Vol.9 (6), p.65-69
Hauptverfasser: Koulischer, Simon, Devos, Stéphane, Verstraeten, Pierre-Bernard, Delahaut, Olivier, Muhadri, Atdhe
Format: Report
Sprache:eng
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Zusammenfassung:INTRODUCTIONPeriprosthetic fracture is the most common cause of reoperation after resurfacing arthroplasty. The majority of fractures associated with this kind of arthroplasty are mostly subcapital fractures. Inter- and sub-trochanteric fractures after resurfacing arthroplasty are rarely reported, and there is no consensus regarding the treatment of such fractures.CASE REPORTWe present the case of a patient in whom an intertrochanteric femoral fracture distal to a hip resurfacing implant was successfully managed by internal fixation with the use of a locking compression plate (LCP), after failed conservative management. We also discuss an in-depth literature review on the topic.CONCLUSIONWe believe that osteosynthesis is a better option than arthroplasty in the management of such injuries. Due to technical issues discussed in our paper, we believe LCP to be an optimal fixation device.
ISSN:2250-0685
DOI:10.13107/jocr.2019.v09.i06.1592