Related Experiment Video
Updated: Apr 14, 2026
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
Management of Subtrochanteric Femur Fracture with Pre-existing Grade IV Psoriatic Hip Arthritis Using Primary Total
K Praveen1, Muthukannan Hari Sivanandan1, I Shebin Christin1
1Department of Orthopaedics, Vinayaka Mission's Kirupananda Variyar Medical College and Hospital, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, Tamil Nadu, India.
Introduction:
Subtrochanteric femur fractures associated with advanced hip arthritis present a complex surgical challenge, particularly in young patients with inflammatory arthropathies.
Case Report:
We report a case of a 38-year-old male with bilateral psoriatic hip arthritis (Ficat and Arlet grade IV) who sustained a right-sided subtrochanteric femur fracture following a slip and fall. Given the coexistence of severe hip arthritis, femoral head collapse, and fracture morphology, a single-stage total hip arthroplasty (THA) using a long distal-loading monoblock stem was performed. The procedure successfully addressed both the fracture and arthritic pathology, allowing stable fixation and early functional recovery.
Conclusion:
This case highlights the role of primary THA with a distal-loading stem as an effective treatment option in selected patients with subtrochanteric fractures and advanced inflammatory hip disease.
