Abstract
This case report involves a 56-year-old female (Mrs X) with a traumatic intertrochanteric hip fracture with subtrochanteric extension below a previous Birmingham hip resurfacing. Periprosthetic fractures following hip resurfacing are usually subcapital and treated with a revision or conservative management. We present an unusual surgical problem with an interesting solution stabilising the fracture using a proximal femoral locking compression plate (LCP). Eight months following surgery the patient is able to walk pain free and there is good fixation and stability.
Highlights
A 56-year-old lady presented to hospital after a fall onto her left hand side, after which she was unable to weight bear
There was a history of previous bilateral Birmingham hip resurfacing (Smith & Nephew) with the left side five years prior to admission and the right side one year before
On discussion with the patient and reviewing what equipment was available locally it was decided that using a locking compression plate (LCP) proximal femoral locking plate (Synthes) would provide the needed fixation without interfering with the current prosthesis
Summary
A 56-year-old lady presented to hospital after a fall onto her left hand side, after which she was unable to weight bear. On examination her leg was shortened, externally rotated, and neurovascularly intact. There was a history of previous bilateral Birmingham hip resurfacing (Smith & Nephew) with the left side five years prior to admission and the right side one year before. Other past medical history included, osteoarthritis affecting hands, hips, knees and spine, as well as hypertension and diet controlled type 2 DM. A pelvic X-ray taken in 2007 demonstrated significant bilateral hip osteoarthritis.
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