A Rare Case of Fracture Intracapsular Neck Femur with Distal Femur Nail in Situ
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 3
Abstract
A 64 year old male patient was previously operated 8 years ago for a fracture of right thigh came with a history of trivial trauma. The patient was further investigated with X-ray of the right hip joint with the proximal half of the femur and X-ray of the right knee with the distal half of the femur both done in the antero-posterior view. The X-ray suggested that the patient was previously operated for a distal femur fracture with an interlocking distal femur nail. The X-ray also showed an intra-capsular fracture of the neck of femur. “PRE-OP TEMPLATING” -this was the biggest challenge confronting us. The Austin Moore Prosthesis normally ranges from a length of 11cm to 15cm. With the distal femoral nail in situ, the ordeal was to fit an AMP of an appropriate length so as not to give rise to a stress fracture at the junction between the two implants. We were faced with the dilemma of whether to remove the previous implant in the well united distal femur fracture and put a long stem bipolar prosthesis or to keep the distal femoral nail in situ and do a hemiarthroplasty. After considering the pros and cons of both the procedures, we decided to go with the latter. Results: The patient had a good result and could do weight bearing satisfactorily.
Authors and Affiliations
Dr. Rohan Khavte
Keywords
Related Articles
- EP ID EP211038
- DOI -
- Views 41
- Downloads 0
Due of Antibiotics in Pediatric LRTI Patients
DUE is an ongoing, systematic process designed to maintain the appropriate and effective uses of drugs. DUE may be applied to a drug or therapeutic class, or diagnosis. DUE is typically classified into three different ca...
IL-4 and IL-6 in Bronchial Asthma Does IL-6 Plays More Important Role than IL-4? A Preliminary Study
Summary: Cytokines IL-4, 5, 6 and 13 plays an important role in the pathogenesis & chronicity of bronchial Asthma. Main purpose of the study was to see role of IL-4 & IL-6 in allergic disease. Material & Method: Total 58...
Benign Prostatic Hyperplasia and its Association with ABO Blood Group System SPECIALITY: UROLOGY
Benign prostatic hyperplasia (BPH) is the most common prostate problem in aging men in the present scenario. Several factors like imbalance in androgen secretions, obesity and life style modifications are linked to the i...
Spontaneous Pelvic Hematoma- A Rare Manifestation of Sickle Cell DiseaseA Case Report and Review of Literature
Hemorrhage in Sickle Cell Disease is not a common clinical entity and is most often limited to central nervous system bleeds, presenting with hemorrhagic stroke or extradural hematomas. We present an adolescent girl with...
Cytological Patterns of Thyroid Lesions: A One-Year Prospective Study in a Tertiary Centre
Background: Thyroid lesions are formed with different cytological patterns due to diseased thyroid gland. These are classified as non-neoplastic or neoplastic. Goitre, thyroiditis, hyperplastic nodules, simple cyst and t...