Department of Orthopaedics and Traumatology, Songyang Hospital of Traditional Chinese Medicine, Songyang, China.
Department of Orthopaedics and Traumatology, Zhongshan Hospital of Traditional Chinese Medicine, Zhongshan, China.
Medicine (Baltimore). 2023 Jun 23;102(25):e34098. doi: 10.1097/MD.0000000000034098.
Currently, there are no clear guidelines to determine whether and when to perform surgical hip repair in patients with acute stroke and hip fracture.
In this case report, we report a case of 75-year-old woman admitted with left hip pain and limited mobility for 1 month.
Patient had a history of acute cerebral infarction 42 days ago, and diagnosed with a left intertrochanteric fracture at another hospital 30 days ago.
Patient was treated with closed reduction and internal fixation with proximal femoral nail anti-rotation.
At 2-year follow-up, the patient's basic function was restored. The fracture healed well, and the Harris hip score was 75.
Without consistent guidelines, individualized treatment strategies including surgical methods and timing of surgery should be made to weigh the risks and benefits for patients with acute stroke and intertrochanteric fractures.
目前，对于急性脑卒中合并髋部骨折的患者，尚没有明确的指南来确定何时以及是否进行手术髋关节修复。
本病例报告中，我们报告了 1 例 75 岁女性，因左髋部疼痛和活动受限 1 个月而入院。
患者 42 天前发生急性脑梗死，30 天前在另一家医院诊断为左侧股骨转子间骨折。
患者接受了闭合复位和股骨近端防旋髓内钉内固定治疗。
2 年随访时，患者的基本功能得到恢复。骨折愈合良好，Harris 髋关节评分为 75 分。
由于没有一致的指南，对于急性脑卒中合并股骨转子间骨折的患者，应制定个体化的治疗策略，包括手术方法和手术时机，权衡利弊。
