| 篇名 |
Simultaneous Treatment of Neglected Femoral Neck and Subtrochanteric Fractures and A Secondary Femoral Shaft Fracture : A Case Report |
| 作者 |
Nan-Ping Yang, Kuan-Yih Wei, King-Jen Chang |
| 卷期/出版年月 |
37卷2期 (2004/4) |
| 頁次 |
69-73 |
| 摘要 |
An iatrogenic femoral shaft fracture complicating neglected femoral neck and
subtrochanteric fractures is rare. We report a case of an 86-year-old woman,
admitted for pneumonia and sepsis, with simultaneous neglected femoral neck and
subtrochanteric fractures of the right hip and flexed contracture of the hip and
knee joints of both legs due to long term bed-rest. These were secondarily complicated by an iatrogenic ipsilateral femoral shaft fracture when the nursing staff attempted to change her position. Surgical intervention was performed for further care and quality of life: the neglected fractured femoral head was removed, and the malunion of 2 subtrochanteric fragments was separated by osteotomy; a long bipolar cementless stem was placed through these segments, and an external cableplate system with proximal and distal cables was advanced laterally. An acute superficial methicillin-resistant Staphylococcus aureus infection occurred postoperatively and required a 5 week regimen of vancomycin. Finally, the infection was treated successfully. Bone union was evident radiographically 18 months after the surgery. Up to now, the patient has remained bedridden but pain-free for more than 3.5 years. |
| 關鍵詞 |
femoral neck fracture, subtrochanteric fracture, femoral shaft fracture |
| 分類 |
Case Report |
