Open AccessProphylactic Fixation of an Incomplete Subtrochanteric Femur Fracture Due to a Low-velocity Gunshot Injury: A Unique Case
Author(s) -
Sin Jhang Wang,
Chih Chien Wang,
Chian Her Lee,
Yuan Ta Li,
Jen Ta Shih,
LiChen Lin,
Horng-Der Shen
Publication year - 2015
Publication title -
yīxué yánjiū zázhì/journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 12
eISSN - 2542-4939
pISSN - 1011-4564
DOI - 10.4103/1011-4564.173010
Subject(s) - medicine , femur , surgery , fixation (population genetics) , femur fracture , displacement (psychology) , dynamic hip screw , psychology , population , environmental health , psychotherapist
We report on a 17-year-old man who underwent prophylactic fixation of the incomplete subtrochanteric femur fracture produced by a low-velocity gunshot. The subtrochanteric region is a high-stress site. Therefore, to avoid progression to complete fracture and displacement requiring secondary surgical stabilization, we used a proximal femoral nail for prophylactic fixation of the incomplete subtrochanteric femur fracture. The patient was able to walk and bear weight on the injured side immediately after surgery. At the 1-year follow-up, the patient was pain-free with a full range of motion of his right hip and had a bony union