Non-union of Intertrochanteric Fracture Right Femur with Limb Shortening

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Htay Lwin
Htoo Htoo Kyaw Soe
Adinegara Lutfi Abas
Mila Nu Nu Htay
Kaung Khant Zaw
Soe Moe

Abstract

Nonunion of intertrochanteric fracture is uncommon because there are excellent blood supply and good cancellous bone in the intertrochanteric region of the femur. A diagnosis of primary intertrochanteric nonunion is made when at least 15 weeks after the fracture there is radiological evidence of a fracture line, with either no callus (atrophic) or with callus that does not bridge the fracture site (hypertrophic). The patient was subsequently treated successfully with an open reduction procedure. Open reduction and internal fixation with right DHS (Dynamic Hip Screw) with 8 screw holes plate inserted first and then 6 screws inserted under the guidance of Image Intensifier (C Arm). We would like to report a case of right intertrochanteric fracture with non-union. A 60 years old patient presented with the history of pain in the right hip, off and on for many years after the operation. The pain was associated with stiffness of the right hip joint. This case is selected for reporting because it’s a relatively rare incidence. 

Keywords:
Hip disorder, intertrochanteric fracture, hip pain, old age.

Article Details

How to Cite
Lwin, H., Soe, H. H. K., Abas, A. L., Htay, M. N. N., Zaw, K. K., & Moe, S. (2020). Non-union of Intertrochanteric Fracture Right Femur with Limb Shortening. International Journal of Medical and Pharmaceutical Case Reports, 13(1), 7-15. https://doi.org/10.9734/ijmpcr/2020/v13i130111
Section
Case Report

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