Abstract
IntroductionWe present a rare case of two concomitant morbidities treated in one operation. To our knowledge, this is the first report of its kind in the literature.Case presentationA 57-year-old Greek woman was admitted to the emergency department having sustained a spiral mid-shaft femoral fracture. She also suffered from an ipsilateral hip congenital dysplasia with ankylosed hip joint due to severe arthritis. She was treated with a total hip arthroplasty using a long stem performing as an intramedullary nail.ConclusionWe undertook a complex operative treatment of both co-morbidities in a one stage procedure with a satisfactory clinical result.
Highlights
We present a rare case of two concomitant morbidities treated in one operation
Femoral shaft fractures are usually high energy traumas, with significant blood loss and pain. These injuries are best treated by closed intramedullary nailing, which stabilizes the fracture site and allows immediate mobilization with full weight bearing
Adults with congenital dysplasia usually present with hip arthritis and restrictive pain between the fourth and sixth decade of their life
Summary
Femoral shaft fractures are usually high energy traumas, with significant blood loss and pain. These injuries are best treated by closed intramedullary nailing, which stabilizes the fracture site and allows immediate mobilization with full weight bearing. Case presentation A 57-year-old Greek housewife, who was 165 cm tall and weighed 65 kg, was admitted to our hospital after a closed injury of her right femur She was a married mother with one 18- year-old daughter who was a nonsmoker and who did not drink alcohol. As a child she had undergone an unsuccessful operation for a nondefined femoral osteotomy She had no other significant medical history and received no medication except pain killers. The fracture had healed, the cup showed no signs of migration (Figures 2,3,4,5), there was a normal hip range of motion and patient was walking and free of symptoms
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