Early surgical treatment of closed reduction and internal fixation for a 30-day old intertrochanteric fracture with hemiplegia after acute stroke: A case report.

Abstract

Currently, there are no clear guidelines to determine whether and when to perform surgical hip repair in patients with acute stroke and hip fracture. In this case report, we report a case of 75-year-old woman admitted with left hip pain and limited mobility for 1 month. Patient had a history of acute cerebral infarction 42 days ago, and diagnosed with a left intertrochanteric fracture at another hospital 30 days ago. Patient was treated with closed reduction and internal fixation with proximal femoral nail anti-rotation. At 2-year follow-up, the patient's basic function was restored. The fracture healed well, and the Harris hip score was 75. Without consistent guidelines, individualized treatment strategies including surgical methods and timing of surgery should be made to weigh the risks and benefits for patients with acute stroke and intertrochanteric fractures.