The choice of locking plate in the treatment of peri-implant femoral fracture eight years after trans-trochanteric rotational osteotomy: A case report

Takeshi Utsunomiya, Takuaki Yamamoto, Goro Motomura, Kazuyuki Karasuyama, Kazuhiko Sonoda, Yusuke Kubo, Hiroyuki Hatanaka, Yukihide Iwamoto

Research output: Contribution to journalArticle

Abstract

Introduction Transtrochanteric anterior rotational osteotomy of the femoral head (TRO) was developed as a joint preserving surgery for osteonecrosis of the femoral head. To the best of our knowledge, peri-implant fractures after femoral osteotomy have rarely been reported. Presentation of case We report a 58-year-old female who suffered a peri-implant femoral shaft fracture following a fall from a stepladder eight years after TRO. Fracture union was achieved six months after a preferred proximal femoral locking plate. Discussion The entry point of the ante-grade femoral nail would have been very close to the new position of the nutrient artery of the femoral head occasioned by the TRO and to avoid injury, we chose proximal femoral locking plate. Conclusion It is important to consider the new position of the nutrient artery of the femoral head in the surgical planning of peri-implant fracture after TRO.

Original languageEnglish
Pages (from-to)101-103
Number of pages3
JournalInternational Journal of Surgery Case Reports
Volume26
DOIs
Publication statusPublished - Jan 1 2016

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Periprosthetic Fractures
Femoral Fractures
Osteotomy
Thigh
Femoral Artery
Therapeutics
Food
Osteonecrosis
Nails
Joints
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Surgery

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The choice of locking plate in the treatment of peri-implant femoral fracture eight years after trans-trochanteric rotational osteotomy : A case report. / Utsunomiya, Takeshi; Yamamoto, Takuaki; Motomura, Goro; Karasuyama, Kazuyuki; Sonoda, Kazuhiko; Kubo, Yusuke; Hatanaka, Hiroyuki; Iwamoto, Yukihide.

In: International Journal of Surgery Case Reports, Vol. 26, 01.01.2016, p. 101-103.

Research output: Contribution to journalArticle

Utsunomiya, Takeshi ; Yamamoto, Takuaki ; Motomura, Goro ; Karasuyama, Kazuyuki ; Sonoda, Kazuhiko ; Kubo, Yusuke ; Hatanaka, Hiroyuki ; Iwamoto, Yukihide. / The choice of locking plate in the treatment of peri-implant femoral fracture eight years after trans-trochanteric rotational osteotomy : A case report. In: International Journal of Surgery Case Reports. 2016 ; Vol. 26. pp. 101-103.
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AU - Karasuyama, Kazuyuki

AU - Sonoda, Kazuhiko

AU - Kubo, Yusuke

AU - Hatanaka, Hiroyuki

AU - Iwamoto, Yukihide

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AB - Introduction Transtrochanteric anterior rotational osteotomy of the femoral head (TRO) was developed as a joint preserving surgery for osteonecrosis of the femoral head. To the best of our knowledge, peri-implant fractures after femoral osteotomy have rarely been reported. Presentation of case We report a 58-year-old female who suffered a peri-implant femoral shaft fracture following a fall from a stepladder eight years after TRO. Fracture union was achieved six months after a preferred proximal femoral locking plate. Discussion The entry point of the ante-grade femoral nail would have been very close to the new position of the nutrient artery of the femoral head occasioned by the TRO and to avoid injury, we chose proximal femoral locking plate. Conclusion It is important to consider the new position of the nutrient artery of the femoral head in the surgical planning of peri-implant fracture after TRO.

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