Macdonald J, Robinson A, Brown I
The Ulster Hospital, Dundonald, UK.
Case Rep Orthop. 2014;2014:393984. doi: 10.1155/2014/393984. Epub 2014 Jun 5.
This case report involves a 56-year-old female (Mrs X) with a traumatic intertrochanteric hip fracture with subtrochanteric extension below a previous Birmingham hip resurfacing. Periprosthetic fractures following hip resurfacing are usually subcapital and treated with a revision or conservative management. We present an unusual surgical problem with an interesting solution stabilising the fracture using a proximal femoral locking compression plate (LCP). Eight months following surgery the patient is able to walk pain free and there is good fixation and stability.
本病例报告涉及一名56岁女性(X夫人),她在先前的伯明翰髋关节表面置换术后发生了伴有转子下延伸的创伤性股骨转子间骨折。髋关节表面置换术后的假体周围骨折通常发生在股骨头下,治疗方法为翻修或保守治疗。我们呈现了一个不寻常的手术问题,并给出了一个有趣的解决方案,即使用股骨近端锁定加压钢板(LCP)来稳定骨折。术后八个月,患者能够无痛行走,骨折固定良好且稳定。