Salvage Treatment for a Patient with a Postoperative Recurrent Femoral Neck Fracture after Intertrochanteric Fracture Healing: A Case Report

Yuan W and Li L*

Department of Orthopedics, Fuxing Hospital, Capital Medical University, China

^*Correspondance to: Liping Li 

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Abstract:

Background: Femoral intertrochanteric fractures are fragility fractures that commonly occur in elderly people and are generally extracapsular. Femoral neck fractures are among the most common orthopedic fractures observed in the elderly population; these fractures affect patient mobility and cause complications that may lead to a high mortality rate. The surgical treatment options include internal fixation, hemiarthroplasty, or Total Hip Arthroplasty (THA) according to the type of fracture and patient characteristics. Case Report: Herein, the authors describe the successful clinical application of joint arthroplasty as a salvage procedure for the treatment of postoperative recurrent femoral neck fractures after intertrochanteric fracture healing. Fifteen months after closed reduction and INTERTAN fixation of the right intertrochanteric fracture, the patient experienced right hip pain and mobility disorders for 3 months. X-ray examination revealed loosening and cut-out of the integrated INTERTAN screws. Then, we removed all the internal fixators and performed revision surgery by inserting an allogeneic bone rod. Three months after revision surgery for internal fixation loosening and cut-out, this patient experienced right hip pain and joint activity limitations because of accidental sprain. Finally, we performed hemiarthroplasty in the elderly patient with a femoral neck fracture, and she recovered well and presented no pain or discomfort during weight-bearing. Conclusion: Postoperative recurrent femoral neck fractures after intertrochanteric fracture healing are not very common in elderly patients. Nevertheless, hemiarthroplasty can be considered a salvage procedure for recurrent femoral neck fractures after revision surgery for failed fixation of intertrochanteric fractures.

Keywords:

Intertrochanteric fracture; Femoral neck fracture; Revision; Hemiarthroplasty

Cite the Article:

Yuan W, Li L. Salvage Treatment for a Patient with a Postoperative Recurrent Femoral Neck Fracture after Intertrochanteric Fracture Healing: A Case Report. Ann Clin Case Rep. 2024; 9: 2552.