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The Choice of Locking Plate in the Treatment of Peri-implant Femoral Fracture Eight Years After Trans-trochanteric Rotational Osteotomy: A Case Report

Overview
Journal Int J Surg Case Rep
Specialty General Surgery
Date 2016 Aug 1
PMID 27475117
Authors
Takeshi Utsunomiya
Takuaki Yamamoto
Goro Motomura
Kazuyuki Karasuyama
Kazuhiko Sonoda
Yusuke Kubo
Hiroyuki Hatanaka
Yukihide Iwamoto
Affiliations
Soon will be listed here.
Abstract

Introduction: Transtrochanteric anterior rotational osteotomy of the femoral head (TRO) was developed as a joint preserving surgery for osteonecrosis of the femoral head. To the best of our knowledge, peri-implant fractures after femoral osteotomy have rarely been reported.

Presentation Of Case: We report a 58-year-old female who suffered a peri-implant femoral shaft fracture following a fall from a stepladder eight years after TRO. Fracture union was achieved six months after a preferred proximal femoral locking plate.

Discussion: The entry point of the ante-grade femoral nail would have been very close to the new position of the nutrient artery of the femoral head occasioned by the TRO and to avoid injury, we chose proximal femoral locking plate.

Conclusion: It is important to consider the new position of the nutrient artery of the femoral head in the surgical planning of peri-implant fracture after TRO.

References
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