Iga Toru, Kato Ken, Karita Tatsuro
Orthopaedic Surgery, Tokyo Metropolitan Tama Medical Center, Tokyo, JPN.
Orthopedic Surgery, Yokohama Rosai Hospital, Yokohama, JPN.
Cureus. 2018 Jul 31;10(7):e3081. doi: 10.7759/cureus.3081.
A subtrochanteric fracture of the femur accompanying pre-existing osteoarthritis of the ipsilateral hip is rare. A deformity of the hip joint complicates the insertion of the intramedullary nail and varus malreduction is anticipated when surgery is performed on a fracture table with a perineal post. We report a successful case of intramedullary fixation performed in the lateral decubitus position and discuss the importance of avoiding varus and the superiority of the lateral position in surgery.
伴有同侧髋关节已有骨关节炎的股骨转子下骨折很少见。髋关节畸形会使髓内钉的插入变得复杂,并且当在带有会阴柱的骨折手术台上进行手术时,预计会出现内翻复位不良。我们报告了一例在侧卧位进行髓内固定的成功病例,并讨论了避免内翻的重要性以及侧卧位在手术中的优势。