Primary repair for concurrent bilateral intertrochanteric fracture and femoral head necrosis with prolonged shank biologic total hip replacement: A case report and surgical techniques  

作　　者：Yuan-Jie Liu Jun-Tan Li Yu-Yang Gao Pei-Yan Guo Tian-Xu Dou Xu Li 

机构地区：[1]Department of Orthopedics,The First Hospital of China Medical University,Shen Yang,110000,China

出　　处：《Chinese Journal of Traumatology》2023年第3期183-186,共4页中华创伤杂志（英文版）

摘　　要：For the treatment of an intertrochanteric fracture combined with femoral head necrosis in middle-age patients,it has been controversial whether to perform fracture reduction and fixation first then total hip replacement,or direct total hip replacement.We present a rare case of 53-year-old male patient suffered from bilateral intertrochanteric fracture caused by a road traffic injury.The patient had a history of femoral head necrosis for eight years,and the Harris score was 30.We performed total hip replacement with prolonged biologic shank prostheses for primary repair.One year after the surgery,nearly full range of motion was achieved without instability(active flexion angle of 110°,extension angle of 20°,adduction angle of 40°,abduction angle of 40°,internal rotation angle of 25°,and external rotation angle of 40°).The Harris score was 85.For the middle-aged patient with unstable intertrochanteric fractures and osteonecrosis of the femoral head,we can choose primary repair for concurrent bilateral intertrochanteric fracture and femoral head necrosis with prolonged shank biologic total hip replacement.

关 键 词：BILATERAL Primary hip replacement Femoral head necrosis Intertrochanteric fracture Greater trochanteric plate 

分 类 号：R687.3[医药卫生—骨科学]