Fragility fractures, a form of stress fracture brought on by physiological stress on weak bones, are not common. It might be challenging to diagnose a fragility fracture since a standard radiograph shows signs of fracture repair rather than the actual fracture. We present a case of a 32-year-old woman who has been complaining of both leg pain for the last 4 months and has been unable to stand for the last 1 week. Further analysis revealed that her vitamin D levels were insufficient.
Background: Subtrochanteric fractures have a tremendous impact on both the health care system and society in general. Accurate reduction and internal fixation by DHS is the ideal choice. Methodology: This is a prospective study of 20 cases of Subtrochanteric fracture admitted to Kims. Hubli between Nov 2008 to Aug 2010 treated with L.Proximal femoral nail by open method. Cases were taken according to inclusion and exclusion criteria, i.e fresh subtrochanteric fracture in adults. Pathologic fractures, multiple fractures, fractures in children, old neglected fractures were excluded from the study. Objectives of study was to study subtrochanteric fractures and to determine effectiveness of L.PFN in tretment of subtrochanteric fractures by ORIF. Results: Our study constituted 20 subtrochanteric fractures of which, 40% were Russell and Taylor type IA, 35% were type IB, and 25% type IIA. Mean duration of hospital stay was 24 days and mean time for full weight bearing was 14 weeks. Good to excellent results were seen in 85% of subtrochanteric fractures. Even though Proximal Femoral nailing is associated with Technical and mechanical complications, it were mostly related to the operative technique and the type of fracture and preoperative reduction of the fracture. Results of Proximal femoral nail fixation for subtrochanteric femur fractures are promising if a carefully pre-meditated operative plan is made. Conclusion: Most of the complications of proximal femoral nailing are surgeon and instruments related which can be cut down by proper patient selection and good preoperative planning and restoring the anatomical alignment.
<p class="abstract"><strong>Background:</strong> Subtrochanteric fractures are devasting injuries that most commonly affect the elderly population and also in young.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study of 20 cases of subtrochanteric fracture admitted to KIMS, Huballi between November 2008 to August 2010 treated with left proximal femoral nail (LPFN) by open method. Cases were taken according to inclusion and exclusion criteria, i.e., fresh subtrochanteric fracture in adults. Pathologic fractures, multiple fractures, fractures in children, old neglected fractures were excluded from the study. Objectives of this study were to study subtrochanteric fractures and to determine effectiveness of LPFN in tretment of subtrochanteric fractures by open reduction and internal fixation (ORIF).<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study of 20 cases, there were 16 male and 4 female patients with age ranging from 17 years to 75 years with most patients in between 21-40 years. 65% of the cases admitted were road traffic accidents, 25% due to fall from height and 10% due to trivial fall with right side being more common side affected. Russell and Taylor type IA fracture accounted for 40% of cases. Mean duration of hospital stay was 24 days and mean time of full weight bearing was 14 weeks in our patients. Good to excellent results were seen in 85% of cases in our study.</p><p class="abstract"><strong>Conclusions:</strong> Subtrochanteric fractures of femur can be successfully treated by ORIF by LPFN resulting in proper anatomical reduction and hence alignment and high rate of bone union.</p>
Fragility fractures, a form of stress fracture brought on by physiological stress on weak bones are not common. It might be challenging to diagnose a fragility fracture, since a standard X-ray shows signs of fracture repair rather than the actual fracture. Here is presented a case of a young woman who has been complaining of pain in both legs for 4 months and has been unable to stand for 1 week. A further analysis revealed that patient's vitamin D levels were insufficient.
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