Early surgical treatment of closed reduction and internal fixation for a 30-day old intertrochanteric fracture with hemiplegia after acute stroke: A case report

Abstract

Rationale: Currently, there are no clear guidelines to determine whether and when to perform surgical hip repair in patients with acute stroke and hip fracture.Patient concerns: In this case report, we report a case of 75-year-old woman admitted with left hip pain and limited mobility for 1 month.Diagnoses: Patient had a history of acute cerebral infarction 42 days ago, and diagnosed with a left intertrochanteric fracture at another hospital 30 days ago.Intervention: Patient was treated with closed reduction and internal fixation with proximal femoral nail anti-rotation.Outcomes: At 2-year follow-up, the patient's basic function was restored. The fracture healed well, and the Harris hip score was 75.Lessons: 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.Abbreviations: CRIF = closed reduction and internal fixation, PFNA = proximal femoral nail anti-rotation.

Effect of rapid rehabilitation care on surgical site wound infection and pain in patients with intertrochanteric femoral fractures: A meta‐analysis

“…Surgery is the primary treatment for intertrochanteric femoral fractures in orthopaedic contions 30,31 . However, conventional surgical treatment often lacks in adequately reducing pain, impacting patient recovery negatively 32 .…”

“…Surgery is the primary treatment for intertrochanteric femoral fractures in orthopaedic contions. 30 , 31 However, conventional surgical treatment often lacks in adequately reducing pain, impacting patient recovery negatively. 32 Patients may experience psychological and physiological stresses before and after surgery, affecting their prognosis and recovery adversely.…”