Unilateral Open Subtrochanteric Fracture in a Very Low Birth Weight Newborn: A Case Report

Abstract

Background: This case report presents an open subtrochanteric fracture in a premature low birth weight newborn, which was treated with intramedullary Kirschner wire. Methods: A neonate with left open subtrochanteric fracture was consulted at the orthopedics department of the current study. Pavlik harness was applied yet treatment failed; therefore, an intramedullary Kirschner wire was applied. Results: Pin was maintained for 6 weeks and fracture healing was confirmed by a radiograph. Follow up after 18 months showed complete healing, no limb length discrepancy, and normal gait. Conclusions: In some patients, traditional methods, such as traction, cast, and pavlik harness cannot be used. Intramedullary Kirschner wire insertion could be an alternative treatment option.