Yu X, Li YZ, Lu HJ, Liu BL. Treatment of a femoral neck fracture combined with ipsilateral femoral head and intertrochanteric fractures: A case report. World J Orthop 2024; 15(10): 973-980 [PMID: 39473522 DOI: 10.5312/wjo.v15.i10.973]
Corresponding Author of This Article
Xiang Yu, MD, Doctor, Department of Orthopedics, Shanghai Seventh People's Hospital, No. 358 Datong Road, Shanghai 200000, China. 13918770991@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Oct 18, 2024; 15(10): 973-980 Published online Oct 18, 2024. doi: 10.5312/wjo.v15.i10.973
Treatment of a femoral neck fracture combined with ipsilateral femoral head and intertrochanteric fractures: A case report
Xiang Yu, Yu-Zhi Li, Hai-Jian Lu, Bing-Li Liu
Xiang Yu, Yu-Zhi Li, Hai-Jian Lu, Bing-Li Liu, Department of Orthopedics, Shanghai Seventh People's Hospital, Shanghai 200000, China
Author contributions: Lu HJ and Liu BL collaborated in developing the patient's treatment plan, whereas Li YZ was in charge of collecting the patient's information and images; Yu X handled the writing of the article; all the authors actively participated in the patient's surgery and follow-up; all the authors were involved in critically revising the manuscript for important intellectual content, and all the authors approved the final version to be published.
Supported bythe Peak Discipline of Traditional Chinese Medicine (Orthopedics and Traumatology Integrated Traditional Chinese and Western Medicine), No. YC-2023-0601.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrolment.
Conflict-of-interest statement: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as potential conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Received: April 25, 2024 Revised: September 1, 2024 Accepted: September 19, 2024 Published online: October 18, 2024 Processing time: 168 Days and 17.7 Hours
Abstract
BACKGROUND
This article presents a rare case of a complex hip fracture involving the ipsilateral femoral neck, trochanter, and femoral head, that was accompanied by hip dislocation. Currently, there is no established standard treatment method for this specific type of fracture. Therefore, it is crucial to comprehensively consider factors such as patient age, fracture type, and degree of displacement to achieve a successful outcome.
CASE SUMMARY
A 38-year-old man sustained a comminuted fracture of his right hip as a result of a car accident. The injuries included a fracture of the femoral head, a fracture of the femoral neck, an intertrochanteric fracture of the femur, and a posterior dislocation of the hip on the same side. We opted for a treatment approach combining the use of a proximal femoral locking plate, cannulated screws, and Kirschner wires. Following the surgery, we developed an individualized rehabilitation program to restore patient limb function.
CONCLUSION
For this complex fracture, we selected appropriate internal fixation and formulated individualized rehabilitation, which ultimately achieved good results.
Core Tip: We introduce a very rare hip fracture combined with a femoral head fracture, a femoral neck fracture, and a femoral intertrochanteric fracture. Locking plates combined with cannulated screws and Kirschner wires were used to treat the complex hip fractures and achieved good results. Complex hip fractures require appropriate internal fixation methods to be selected on the basis of specific classifications. After surgery, an individualized rehabilitation plan needs to be developed on the basis of the degree of internal fixation.
