Intertrochanteric Fracture With Broken Proximal Femoral Nail – A Case Report With Tips & Tricks

Abstract

Background: Intertrochanteric (IT) femur fractures comprise approximately half of all hip fractures caused by a lowenergy accident such as a fall from standing height. These fragile hip fractures occur in a characteristic population with risk factors including increasing age, female gender, osteoporosis, a history of falls, and gait abnormalities. Surgery is almost always the recommended treatment as the morbidity and mortality associated with non-operative treatment historically has been high. Case Report: A 75-year-old male with left sided hemiplegia developed left intertrochanteric fracture after he fell as his own. He was treated with short proximal femoral nailing and was discharged. After 3 weeks he fell again and broke his implant with refracture. He was treated with implant removal and long proximal femoral locking compression plate with bone graft. After 6 months and 1 year of follow up, fracture was found united and the patient was walking comfortably. Conclusion: The quality of fracture reduction is an important factor that affects the revision rate in patients with mechanical complications after proximal femoral nail (PFN) was used for trochanteric fractures.