Trochanteric fractures are common in elderly patients with osteoporosis and are surgically treated to facilitate early rehabilitation and to prevent lodging-related comorbidities. Nonunion and hardware breakage of intertrochanteric hip fractures is a relatively rare occurrence resulting from an incorrect surgical procedure. We present a case of ZNN nail breakage caused by fatigue of an unstable trochanteric fracture in a very active elderly female. An 84 year-old woman was treated with a long, pertrochanteric femoral nail. Six months after surgery, she returned to the emergency department due to the ruptured nail. The patient underwent hemiarthroplasty with a stem revision and, after removing the nail, was stabilized with a trochanteric gripping plate and rims. Long-term results assessed with the Harris Hip Score and the Oxford Hip Score were excellent. The patient’s quality of life improved greatly. Our experience confirms that total hip hemiarthroplasty is a satisfactory revision procedure after failed treatment of an intertrochanteric fracture in elderly patients with poor bone stock and high functional demands in daily activities.

Breakage of a znn nail in an active elderly female: A case report and literature review

Cioffi R.;Valentino L.;Di Cecco F.;Calvisi V.
2018

Abstract

Trochanteric fractures are common in elderly patients with osteoporosis and are surgically treated to facilitate early rehabilitation and to prevent lodging-related comorbidities. Nonunion and hardware breakage of intertrochanteric hip fractures is a relatively rare occurrence resulting from an incorrect surgical procedure. We present a case of ZNN nail breakage caused by fatigue of an unstable trochanteric fracture in a very active elderly female. An 84 year-old woman was treated with a long, pertrochanteric femoral nail. Six months after surgery, she returned to the emergency department due to the ruptured nail. The patient underwent hemiarthroplasty with a stem revision and, after removing the nail, was stabilized with a trochanteric gripping plate and rims. Long-term results assessed with the Harris Hip Score and the Oxford Hip Score were excellent. The patient’s quality of life improved greatly. Our experience confirms that total hip hemiarthroplasty is a satisfactory revision procedure after failed treatment of an intertrochanteric fracture in elderly patients with poor bone stock and high functional demands in daily activities.
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11697/159415
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 0
  • ???jsp.display-item.citation.isi??? ND
social impact