Re: Necrosis of the femoral head after fixation of trochanteric fractures with Gamma Locking Nail. A cause of late mechanical failure

Vicario‐Abejón, Carlos; Marco, Fernando; Ortega, Luís; Alcobendas, Monica; Domínguez, I.; López-Durán, L.

doi:10.1016/j.injury.2005.08.025

Cited by 9 publications

(1 citation statement)

References 5 publications

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“…Radiografia pós-operatória na incidência em AP, com 12 meses de evolução, após reoperação com realização de artroplastia total hí-brida do quadril. do ao tipo de implante utilizado, pois o ponto de entrada do PFN ® é a ponta do grande trocanter, região que não coloca em risco a vascularização da cabeça do fêmur; além disso, existem alguns relatos de casos de necrose avascular da cabeça do fêmur associada a fraturas trocantéricas que foram submetidas a outros tipos de implantes, inclusive com placa-tubo tipo DHS ® e DCS ® , o que sugere que esta complicação deve resultar do trauma inicial que determinou a fratura (33)(34)(35)(36) (figuras 9 e 10).…”

Section: Discussionunclassified

Avaliação do emprego da haste femoral curta na fratura trocantérica instável do fêmur

Guimarães¹,

Guimarães²,

Franco³

2008

Rev. bras. ortop.

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Section: Discussionunclassified

Avaliação do emprego da haste femoral curta na fratura trocantérica instável do fêmur

Guimarães¹,

Guimarães²,

Franco³

2008

Rev. bras. ortop.

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Pertrochanteric Fractures

Vécsei¹

2014

Bone and Joint Injuries

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Avascular necrosis of the femoral head at 2 years after pertrochanteric fracture surgery: Case report

Deleanu

Prejbeanu

Vermeşan

et al. 2016

Annals of Medicine &Amp; Surgery

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IntroductionThe avascular necrosis of the femoral head represents the death of bone tissue due to the lack of blood supply. The disease has a progressive evolution and left untreated leads to femoral head collapse and severe arthritis.Case presentationWe present a case of a pertrochanteric fracture which has been successfully operated with a dynamic interlocking trochanteric gamma nail on the right hip. At 2 years after surgery the patient developed an incipient avascular necrosis of the femoral head. Despite the good positioning of the implant, we considered that the source of the pain was an intolerance of the implant, and thus we removed it. After implant removal, the patient was kept under observation and conservative treatment, to prevent further damage to the right hip and allow the healing to occur. At 6 months after the gamma nail was removed the X-rays revealed advanced avascular necrosis of the femoral head and secondary osteoarthritis on the right hip. The patient underwent surgery with an uncemented total hip arthroplasty.DiscussionThere are a few discussions regarding the avascular necrosis of the femoral head. These discussions may include the predisposing risk factors, the treatment of choice and the postoperative complications.ConclusionThe avascular necrosis of the femoral head is a complication of pertrochanteric fractures that can not be foreseen or avoided. The optimal treatment in these cases is uncemented total hip arthroplasty.

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Re: Necrosis of the femoral head after fixation of trochanteric fractures with Gamma Locking Nail. A cause of late mechanical failure

Cited by 9 publications

References 5 publications

Avaliação do emprego da haste femoral curta na fratura trocantérica instável do fêmur

Avaliação do emprego da haste femoral curta na fratura trocantérica instável do fêmur

Pertrochanteric Fractures

Avascular necrosis of the femoral head at 2 years after pertrochanteric fracture surgery: Case report

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