Author:
Li Shihong,Huang Chen,Wang Wei,Chen Song,Deng Bing,Yin Li,Amu Yida,Ye Lijuan,Jing Dan,Song Benjing,Xie Qingyun,Liao Dongfa
Abstract
Abstract
Background
Osteonecrosis of the femoral head (ONFH) is a common clinical disease. Improper treatment can lead to femoral head collapse and hip joint dysfunction. Core decompression is particularly important for early ONFH. However, subtrochanteric fractures after core decompression cause some clinical problems.
Case presentation
This article describes a 34-year-old male patient with early ONFH. After core decompression, he suffered a subtrochanteric fracture of the femur while bearing weight on the affected limb when going up stairs. He was subsequently treated with open reduction and intramedullary nail fixation.
Conclusion
When core decompression is used to treat ONFH, the location or size of the drill hole, whether a tantalum rod or bone is inserted, and partial weight-bearing of the affected limb may directly affect whether a fracture occurs after surgery. It is hoped that this case report can provide a reference for clinical orthopedic surgeons in the treatment of early ONFH.
Funder
On-site treatment and infection control strategies for blast injuries of extremities
Sichuan Province Science and Technology Support Program
General project of Sichuan Provincial Administration of Traditional Chinese Medicine
Study on the influence of hypoxic environment on the molecular profile of bone and cartilage metabolism in patients with knee osteoarthritis
Publisher
Springer Science and Business Media LLC