Fragility fracture in a 28 yr old male

Abstract

A fragility fracture may be defined as a pathological fracture that results from trivial trauma. These "fragility fractures" are linked to significant pain and suffering. A 28-year-old male with a right side subtrochanteric fracture following a trivial injury, the possibility of a pathological fracture should always be raised. The subtrochanteric region commonly causes issues for the orthopaedic surgeon as the best method of restoration may not always be clear. 28-year-old male presented to emergency department with a/h/o deformity in right thigh and weakness in the bilateral lower limb. On examination tenderness, bony crepitus, bony irregularity was present and loss of transmission of movements. Patient was managed with closed reduction and internal fixation with long proximal femoral nail (PFN).A long proximal femoral nail (PFN) is an excellent option for stabilising a Fragility fracture of subtrochanteric region and in-bed mobilisation helped in preventing the development of any more bed sores. The postoperative period was uneventful. The patient visited for routine follow-ups; the incision site was healthy.