scholarly journals Outcomes of Subcapital Femoral Fracture after a Fixation of an Intertrochanteric Fracture with a Proximal Femoral Nail: Case Report

2021 ◽  
pp. 56-61
Author(s):  
Jorge H. Nuñez ◽  
Jordi Teixidor ◽  
Felipe Borim ◽  
Vicente Molero ◽  
Jordi Tomas
Keyword(s):  
Case Report ◽  
Femoral Fracture ◽  
Intertrochanteric Fracture ◽  
Rare Complication ◽  
Femoral Fractures ◽  
Proximal Femoral Nail ◽  
Femoral Nail ◽  
Number Of Patients ◽  
Neck Fracture

Proximal femoral fractures are a common injury that represents an important cause of hospitalization, morbidity, and mortality in elderly patients. Subcapital femoral neck fracture after fixation of an intertrochanteric fracture with a proximal femoral nail is an extremely rare complication. However, because of the large and steadily increase in the number of patients undergoing to proximal femoral nail fixation in recent years, we believe that the number of these cases could increase over time. We present a 78-year-old woman with a subcapital femoral fracture 11 months after a fixation of intertrochanteric fracture with a proximal femoral nail in the same hip. Five years of follow-up was presented. Also through our case report a review of literature of these rare cases was done, trying to evaluate the associated risk factors, the difficulties in their treatment and the final follow-up of these patients.

Effects of Proximal Femoral Nail Anti-Rotation (PFNA-II) and Artificial Total Hip Arthroplasty (THA) on Unstable Intertrochanteric Femoral Fracture Combined with Severe Osteoporosis

2020 ◽  
Vol 10 (3) ◽  
pp. 413-417
Author(s):  
Xiaosong Chen ◽  
Xunsheng Cheng ◽  
Wuxiu Ma ◽  
Congcong Chen ◽  
Gan Zhang
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Fracture ◽  
Proximal Femoral Nail ◽  
Therapeutic Effects ◽  
Severe Osteoporosis ◽  
Total Hip ◽  
Femoral Nail ◽  
Intertrochanteric Femoral Fracture

The current study was conducted to compare the therapeutic effects of proximal femoral nail antirotation (PFNA-II) and artificial total hip arthroplasty (THA) on elderly Chinese patients with unstable intertrochanteric femoral fracture combined with severe osteoporosis. There were 60 people in each group. The duration of surgery, blood loss, and weight-bearing period when standing on the floor were compared between the two groups (P > 0.05). Harries function scores of both groups increased over time. Scores of THA group were significantly higher than those of PFNA-II group during six- and twelve-months follow-up visit (P < 0.05). In addition, excellent and good rates of hip joint function in THA group were higher than those of PFNA-II group during twelve-month follow-up visit (P < 0.05). The occurrence rates of follow-up complications in both groups showed no statistical significance (P > 0.05). Thus, both PFNA-II and THA have good effects on Chinese elderly patients with unstable intertrochanteric femoral fracture combined with severe osteoporosis.

scholarly journals Pseudoaneurysm of the internal iliac artery caused by proximal femoral nail antirotation following intertrochanteric fracture: a case report

2019 ◽  
pp. 030006051989238
Author(s):  
Cheng Ren ◽  
Qian Wang ◽  
Teng Ma ◽  
Zhong Li ◽  
Huijun Yuan ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Intertrochanteric Fracture ◽  
Internal Iliac Artery ◽  
Rare Complication ◽  
Proximal Femoral Nail ◽  
Intense Pain ◽  
Left Femur ◽  
Femoral Nail ◽  
Internal Iliac ◽  
Proximal Femoral Nail Antirotation

Pseudoaneurysm of the internal iliac artery is a very rare complication of intertrochanteric fracture. Here, the case of an 88-year-old female patient, who presented with intense pain following surgery for intertrochanteric fracture of the femur, is reported. Radiography revealed intertrochanteric fracture of the left femur fixed by proximal femoral nail antirotation (PFNA). The PFNA was found to have disassembled, and the screw had penetrated through the acetabulum. As computed tomography (CT) revealed a haematoma behind the acetabulum, CT angiography was immediately performed. A pseudoaneurysm of the internal iliac artery caused by PFNA was revealed. Percutaneous endovascular treatment of the pseudoaneurysm was undertaken on an urgent basis. Three days later, the PFNA was removed, and the fracture was reduced and fixed with locking proximal femoral plate. The patient’s pain was significantly reduced following this corrective surgery. This case illustrates that substandard PFNA surgery for intertrochanteric fracture may result in pseudoaneurysm of the internal iliac artery.

scholarly journals Subcapital Femoral Neck Fracture after Fixation of an Intertrochanteric Fracture with a Proximal Femoral Nail: A Report of Two Cases

2009 ◽  
Vol 17 (3) ◽  
pp. 370-373 ◽  
Author(s):  
Haruka Kaneko ◽  
Keiji Matsuda ◽  
Sungon Kim ◽  
Kouichi Maeda ◽  
Takashi Ikegami ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Intertrochanteric Fracture ◽  
Proximal Femoral Nail ◽  
Femoral Nail ◽  
Neck Fracture

scholarly journals Comparative evaluation of postoperative health status and functional outcome in patients treated with either proximal femoral nail or hemiarthroplasty for unstable intertrochanteric fracture

2019 ◽  
Vol 27 (3) ◽  
pp. 230949901986442 ◽  
Author(s):  
Hanifi Ucpunar ◽  
Yalkin Camurcu ◽  
Adem Çöbden ◽  
Hakan Sofu ◽  
Mehmet Kis ◽  
...  
Keyword(s):  
Functional Recovery ◽  
Group Treatment ◽  
Intertrochanteric Fracture ◽  
Rating Scale ◽  
Early Mobilization ◽  
Proximal Femoral Nail ◽  
Femoral Nail ◽  
Ambulatory Ability ◽  
Unstable Intertrochanteric Fracture

Purpose: This study aimed to compare functional recovery and change in morbidity status from the preoperative levels among patients who underwent two different surgical treatments for unstable intertrochanteric fracture. Methods: This retrospective comparative study enrolled 140 patients (aged >80 years) who were referred to two hospitals. Of these, 64 were treated using proximal femoral nail (PFN) and 76 were treated using hemiarthroplasty (HA). To evaluate functional recovery, primary outcome measures were cumulative illness rating scale (CIRS) score to evaluate changes in morbidity status, activity of daily living (ADL) index, and mobility scores. Results: The proportion of patients who experienced increased CIRS scores in the HA group was higher at the 3-month follow-up ( p = 0.02) but similar at the 6-month follow-up ( p = 0.2) in comparison to the PFN group. Treatment with HA, American Society of Anesthesiologists scores of 3–4, and lower, preoperative ADL indexes were the major predictors of increased postoperative CIRS score. Impaired ambulatory ability and the need for walking aids were significantly higher in the PFN group at the 3-month follow-up ( p = 0.01 and p = 0.02, respectively) but similar at the 6-month follow-up with respect to the HA group. PFN treatment and high patient body mass index were the major predictors of decreased ambulatory ability at postoperative 3 months. Conclusion: HA has several advantages, including early mobilization and decreased dependency. However, it is associated with greater blood loss, a higher need for blood transfusion, and longer surgical duration than PFN, all of which are predisposing factors for significantly higher risk of reduced CIRS scores.

scholarly journals One-Stage Osteotomy and Fixation Using a Long Proximal Femoral Nail and Fibular Graft to Correct a Severe Shepherd's Crook Deformity in a Patient with Fibrous Dysplasia: A Case Report

2009 ◽  
Vol 17 (2) ◽  
pp. 245-247 ◽  
Author(s):  
Himanshu Kataria ◽  
Neeraj Sharma ◽  
Rajesh Kumar Kanojia
Keyword(s):  
Case Report ◽  
Femoral Neck ◽  
Fibrous Dysplasia ◽  
Proximal Femoral Nail ◽  
Fibular Graft ◽  
Neck Shaft Angle ◽  
One Stage ◽  
Femoral Nail ◽  
Shaft Angle

We report a case where a one-stage osteotomy and fixation, using a long proximal femoral nail and fibular graft, was performed to correct a severe shepherd's crook deformity (70° varus and 50° retroversion) of the femoral neck with a pathological stress fracture in a patient with fibrous dysplasia. The neck shaft angle was corrected to 125°. At the 57-month follow-up, the patient was free of pain and had no limp or evidence of recurrence.

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