scholarly journals A case report of Progressive subluxation leading to an anterior dislocation of the hip following sliding hip screw fixation for pertrochanteric Extracapsular 4 part fracture neck of femur

2015 ◽  
Vol 3 (7) ◽  
pp. 542-547 ◽  
Author(s):  
Jaydeep Shah ◽  
Ben A. Marson
2017 ◽  
Vol 99 (8) ◽  
pp. e227-e229
Author(s):  
AD Clarke ◽  
JBT Herron ◽  
JL McVie

With the introduction of the World Hip Trauma Evaluation Four clinical trial, fixation of pertrochanteric neck of femur fractures is becoming a hot topic. In this trial, the novel X-Bolt expanding bolt implant is being compared with the current gold standard of a sliding hip screw. We present a previously undescribed complication when inserting the bolt into the femoral head, where the expandable wings penetrate the femoral neck due to misplacement of the bone crusher or the X-Bolt prosthesis. This unforeseen complication required the introduction of several additional corrective intraoperative steps.


2021 ◽  
Vol 11 (7) ◽  
Author(s):  
M K Rajak ◽  
S Kumar ◽  
R Thakur ◽  
I Bhaduri

Introduction: Simultaneous fractures in the neck of femur on the one side and contralateral intertrochanteric fracture of the femur with only trivial injury are among rarest injuries. Fracture neck of femur or intertrochanteric fracture either isolated or in combination such as simultaneous bilateral fracture neck of femur and simultaneous bilateral intertrochanteric fractures are relatively commonly reported in literature. Herein, we report a very rare case of a young female with chronic kidney disease who presented with simultaneous fractures neck of femur on the one side and contralateral intertrochanteric fracture of femur after a fall from standing height. Case Report: A 41-year-old female with chronic kidney disease from the past 5 years presented to us with severe pain at both hip and inability to stand after a fall from standing height. Clinical examination and investigations were done. She suffered fracture neck of femur on the right side and intertrochanteric fracture femur on the left side. Single stage fixation of both these fractures by two different methods was done successfully after optimization of her medical condition with multidisciplinary approach. She was advised weight bearing according to fixation method used and progress of fracture union. She regained her preoperative walking status gradually in 6 months. Conclusion: Simultaneous fractures in the neck of femur on the one side and intertrochanteric fracture of the femur on the other side are very rare presentation and can happen in patients with primary or secondary bone disease. Multidisciplinary team effort is needed for overall effective management and prompt surgical treatment can help achieve favorable outcome. Keywords: Simultaneous, fracture neck of femur, intertrochanteric fracture femur.


2020 ◽  
Vol 11 (2) ◽  
pp. 295-297
Author(s):  
Caryne Mboutol-Mandavo ◽  
Marius Monka ◽  
Jean-Claude Mieret ◽  
Irène Patricia Lucienne Ondima ◽  
Kévin Bouhélo-Pam

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