Case report: AVN of the femoral head five year follow-up of the combination of ipsilateral femoral neck and sub-trochanteric fracture. (April 2016)

• Record Type: Journal Article
• Authors: Zhang, Wei; Zhu, Feng; Dong, Hanqing; Xu, Yaozeng
• Is Part Of: Trauma case reports. Volume 3(2016)
• Page Start: 1
• Page End: 6
• Publication Date: 2016-04
• Subjects: Ipsilateral fractures -- Proximal femur -- Femoral neck and sub-trochanteric -- AVN; Wounds and injuries -- Periodicals; Traumatology -- Periodicals; 617.1005
• DOI: 10.1016/j.tcr.2016.03.005
• Languages: English
• ISSNs: 2352-6440

Abstract

Abstract: To our knowledge, the type of combination of ipsilateral femoral neck and sub-trochanteric fracture is rare. And the long term follow-up is seldom been reported. A 60 year old woman suffered from a traffic accident. We gave her the intramedullary nail treatment for the combination of ipsilateral femoral neck and sub-trochanteric fracture, and the fracture indeed cured after one year and there is no clue of necrosis of the femoral head, but after 5 years, there is an evidence of necrosis of the femoral head. Combination of ipsilateral femoral neck and sub-trochanteric fracture should be kept in mind. Patients with this unusual fracture should be kept under surveillance for longer than might be thought currently to be necessary for there is a possibility of necrosis of the femoral head, even a nondisplaced femoral neck fracture.