Management of infected non-union of subtrochanteric fracture: Two cases

Saito, Tomohiro; Matsumura, Tomohiro; Nakashima, Mitsuharu; Takeshita, Katsushi

doi:10.1016/j.tcr.2020.100293

Cited by 1 publication

(1 citation statement)

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“… 11 For patients still having a non-union fracture, removing implants can result in severe hip pain and immobilization status. 12 Undesired complications such as pneumonia, pressure sore, and urinary tract infection can exist due to prolonged bedridden status. 13 Hence, to provide adequate fracture stability is crucial in treating these patients.…”

Section: Introductionmentioning

confidence: 99%

External Locking Plate Fixation for Femoral Subtrochanteric Fractures

Chiu

Tsai

et al. 2022

Geriatr Orthop Surg Rehabil

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Introduction Internal fixation is the treatment of choice for subtrochanteric fractures in most conditions. However, it may be an unsuitable procedure for patients with poor health status, osteomyelitis, and surrounding soft tissue compromise. This study aimed to ascertain the viability and reliability of using external locking plate fixation for these difficult cases. Methods Eleven patients with femoral subtrochanteric fractures who received external locking plate fixation in our institute from January 2014 to December 2019 were enrolled in our study. The bone union time, wound complication, alignment, and necessity for narcotic agents were evaluated. Results The average length of follow-up was 17.5 months (range, 14-26 months). The mean time for bone union was 17.7 weeks (range, 15-21 weeks). The indications included poor health condition, soft tissue compromise, and post-operative osteomyelitis. Pin tract infection was noted in two patients who were treated successfully with oral antibiotics administration and removal of the involved screws. Osseous union with varus deformity <10° was achieved in all patients except one. Three patients required an orally administered pain killer at the final visit. The average Harris Hip Score at one year post-operatively was 66.6 (range, 49-80). Conclusions Although the current study only involved 11 patients, we believe that our method may serve as a valuable alternative for the treatment of a femoral subtrochanteric fracture in selected cases. Level of Evidence Level IV, retrospective case series

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Section: Introductionmentioning

confidence: 99%