Refracture After Removal of the PFNA in a Healed Intertrochanteric Femoral Fracture: Case Report

Autor: Jin-Woo Jin, Hyeon-Soo Kim, Min-Jae Jang
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Geriatric Orthopaedic Surgery & Rehabilitation, Vol 13 (2022)
Druh dokumentu: article
ISSN: 2151-4593
21514593
DOI: 10.1177/21514593221074179
Popis: Hardware removal in a healed intertrochanteric fracture in elderly, which is not a routine procedure, should be needed in the case of irritable hardware. The reports of refracture after hardware removal can be seen as sparse in current literature, which are focused to secondary femoral neck fracture after removal of the lag screw or blade. We experienced a case of the intertrochanteric refracture and varus collapse after the PFNA removal in a healed fracture, treated with valgus trochanteric osteotomy and angled blade plate fixation. The PFNA is an innovative device for the treatment of the trochanteric fracture; however, the complications after removal never end. Therefore, the removal from healed fracture in elderly who have osteoporosis should not be recommended unless intractable pain had persisted.
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