Intertrochanteric fracture under an arthrodesed hip

Area of Science:

• Orthopedics and Traumatology
• Surgical Case Reports

Background:

• Intertrochanteric fractures are common in the elderly but rare in patients with long-standing hip arthrodesis.
• Surgical management of such fractures presents significant challenges for orthopedic surgeons.

Purpose of the Study:

• To report a rare case of intertrochanteric fracture in a young patient with hip arthrodesis.
• To discuss the surgical considerations and treatment of this unusual orthopedic condition.

Main Methods:

• A 30-year-old female with hip arthrodesis sustained a displaced intertrochanteric fracture.
• Surgical fixation was performed using a heavy-duty locked plate and cannulated screws.
• Preoperative considerations included patient factors and fracture characteristics.

Main Results:

• The patient presented with pain and inability to walk due to the fracture.
• Successful fracture fixation was achieved with the chosen implants.
• The patient had a history of developmental dysplasia of the hip.

Conclusions:

• Intertrochanteric fractures under hip arthrodesis are rare, and optimal treatment remains debated.
• A locked plate and cannulated screws can be effective implants for managing these complex fractures.
• This case highlights a successful surgical outcome in an unusual clinical scenario.