Details

Autor(en) / Beteiligte

• Kayali, Cemil
• Altay, Taskin
• Kement, Zafer
• Yagdi, Serhan
• Koyuncu, Semmi

Titel

A rare complication after intertrochanteric fracture treated with proximal femoral nail: femoral neck insufficiency fracture

Ist Teil von

• European journal of orthopaedic surgery & traumatology, 2013-11, Vol.23 (Suppl 2), p.241-245

Ort / Verlag

Paris: Springer Paris

Erscheinungsjahr

2013

Quelle

MEDLINE

Beschreibungen/Notizen

• We present a case, 82-year-old woman, sustaining intertrochanteric fracture treated with proximal femoral nail. Up to 14 months postoperatively, everything went on seamlessly. Then, there was a rapid onset of worsening of the functional capacity. She came to outpatient clinic by using wheelchair. Plain X-rays revealed a femoral neck fracture on the operative side with no history of trauma. Laboratory studies showed no significant abnormalities but vitamin D [25 (OH) D] level was 14.82 ng/ml. X-ray survey of skeletal system was not indicative of osteomalacia. We performed total hip replacement instead of internal fixation due to patient’s age. Vitamin D replacement therapy was launched. Three months later, she was totally satisfactory with clinical result and 25 (OH) D level increased to 53.68 ng/ml. At the last visit, the patient was pain free and active in all her recreational activities.