Saleh Abdulrahman AL Rusayni¹, Batool Mousa ALAskar¹, Rheema Ahmad ALFadhil², Bander Saad ALRashedan³, Hamid Talal AL Johani¹*, Abdulaziz Muhanna ALMuhanna¹ and Maher Ghurmallah ALZahrani¹

¹Department of Orthopaedic Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
²Department of Orthopaedic Surgery, MCGILL University, Montreal, Canada
³Department of Orthopaedic Surgery, King Saud Medical City, Riyadh, Saudi Arabia

*Corresponding Author: Hamid Talal AL Johani, Department of Orthopaedic Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Received: January 19, 2024; Published: February 24, 2024

Abstract

Subtrochanteric fractures are relatively rare and challenging for orthopedic surgeons. Failing to achieve proper alignment during surgery can result in devastating sequela and necessitate more complex reoperation. We present a case of a 50-year-old man with a history of diabetes and hypertension who suffered a right subtrochanteric fracture after a motor vehicle collision. He was treated with intramedullary fixation of the femur. Upon follow-up, the fracture was complicated by nonunion due to improper alignment and fixation method at the index procedure. Two attempts at revision with nailing and plating failed. Ultimately, we treated the patient with a revision nailing and autograft of the nonunion site which led to a desirable outcome and union of the fracture. This case highlights the complex and challenging nature of subtrochanteric fractures, which can require multiple interventions, consideration of underlying medical conditions, and perseverance in treatment before achieving successful outcomes.

Keywords: Fixation Failure; Modes of Fixation; Nonunion; Malalignment; Subtrochanteric Fracture

References

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Citation

Citation: Hamid Talal AL Johani., et al. “The Consequences of Subtrochanteric Fracture with Suboptimal Surgical Fixation Leading to Multiple Surgical Revisions: A Case Report".Acta Scientific Orthopaedics 7.3 (2024): 76-79.

Copyright

Copyright: © 2024 Hamid Talal AL Johani., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.