Intramedullary Nailing of a Periprosthetic Intertrochanteric Fracture in the Setting of Prior Hip Resurfacing: A New Technique for Fracture Fixation

Abstract

We report the case of a 61-year-old male individual with a history of left hip resurfacing arthroplasty who sustained a left intertrochanteric fracture after a mechanical fall. While prior reports have described internal fixation with a femoral reconstruction nail or small frag locking compression plate for periprosthetic intertrochanteric fractures sustained around a Birmingham resurfacing prosthesis, our case is unusual in that the fracture extended into the lesser trochanter as well as the basicervical femoral neck. We present our technique for fracture fixation with a lateral entry femoral reconstruction nail and a derotation screw for this unstable injury as an alternative to currently available treatment options, which are limited to revision total hip arthroplasty.