Periprosthetic Intertrochanteric Fracture between Hip Resurfacing and Retrograde Nail.

Area of Science:

• Orthopaedic Surgery
• Biomaterials Science

Background:

• Periprosthetic femur fractures are an increasing global concern.
• Fractures adjacent to hip resurfacing implants present complex fixation challenges.
• Limited stabilization options necessitate innovative surgical approaches.

Observation:

• A case of an intertrochanteric femur fracture occurring between a hip resurfacing implant and a retrograde intramedullary nail was observed.
• The fracture pattern required a non-standard fixation construct.

Findings:

• Successful stabilization was achieved using a retrograde intramedullary nail in the presence of a hip resurfacing implant.
• The chosen construct addressed the unique biomechanical demands of this fracture pattern.

Implications:

• This case demonstrates a viable management option for complex periprosthetic femur fractures.
• Findings may inform surgical decision-making and the development of fixation techniques for similar cases.
• Highlights the importance of tailored surgical strategies in managing periprosthetic joint complications.