Refracture After Removal of the PFNA in a Healed Intertrochanteric Femoral Fracture: Case Report

被引：1
|
作者：
Jin, Jin-Woo [1 ]
Kim, Hyeon-Soo [1 ]
Jang, Min-Jae [1 ]
机构：
[1] Sungkyunkwan Univ, Samsung Changwon Hosp, Dept Orthoped Surg, Sch Med, Changwon Si, Geyongsangnam D, South Korea
来源：
GERIATRIC ORTHOPAEDIC SURGERY & REHABILITATION | 2022年 / 13卷
关键词：
intertrochanter fracture; removal; refracture; opsteoporosis; PFNA; NAIL ANTIROTATION; HARDWARE REMOVAL; HIP SCREW; FIXATION;
D O I：
10.1177/21514593221074179
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
Hardware removal in a healed intertrochanteric fracture in elderly, which is not a routine procedure, should be needed in the case of irritable hardware. The reports of refracture after hardware removal can be seen as sparse in current literature, which are focused to secondary femoral neck fracture after removal of the lag screw or blade. We experienced a case of the intertrochanteric refracture and varus collapse after the PFNA removal in a healed fracture, treated with valgus trochanteric osteotomy and angled blade plate fixation. The PFNA is an innovative device for the treatment of the trochanteric fracture; however, the complications after removal never end. Therefore, the removal from healed fracture in elderly who have osteoporosis should not be recommended unless intractable pain had persisted.
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页数：6
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