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Updated: Dec 18, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Internal Fixation of an Intertrochanteric Fracture after Resurfacing Arthroplasty: A Case Report
Simon Koulischer1, Stéphane Devos2, Pierre-Bernard Verstraeten2
1CHU Saint-Pierre, Rue aux Laines 105, 1000 Bruxelles, Belgium.
Introduction:
Periprosthetic 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 Report:
We 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.
Conclusion:
We 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.
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