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Acta ortopédica mexicana
versão impressa ISSN 2306-4102
Resumo
GIL-FERRER, JR; PORTILLA-MAYA, D; MEJIA-CORZO, MA e GONZALEZ-FANG, YP. No infected union of subtrochanteric fracture of femur, treated with autograft and plate. Acta ortop. mex [online]. 2022, vol.36, n.3, pp.185-189. Epub 28-Ago-2023. ISSN 2306-4102. https://doi.org/10.35366/109695.
Hip fractures are considered a public health problem in the world. Among hip fractures we find subtrochanteric fractures that are defined as proximal femur fractures located in the trochanteric region within 5 cm below the lesser trochanter; and they have an approximate incidence of 15 to 20 per 100,000 people. The objective of this case is to report the success of the reconstruction of an infected subtrochanteric fracture, with a non-vascularized fibular segment and a distal femur condylar support plate.
Clinical case:
41-year-old male patient suffering from a right subtrochanteric fracture as a result of a traffic accident that required the use of osteosynthesis material. With subsequent rupture of the cephalomedullary nail in its proximal third, non-union of the fracture and infections at the fracture site. He was treated with multiple surgical lavages, antibiotic therapy, and an unconventional orthopedic and surgical procedure, such as the use of a distal femur condylar support plate and an endomedullary bone graft with a 10-cm segment of non-vascularized fibula. Patient with satisfactory and favorable evolution.
Palavras-chave : femur; subtrochanteric fracture; infection; vascularization; fibula; osteosynthesis.
