Connection of a hip prosthesis and an intramedullary nail as a special solution in a subtrochanteric femoral fracture with fibrous dysplasia

2016 ◽  
Vol 24 (5) ◽  
pp. 729-735 ◽  
Author(s):  
Marcel Winkelmann ◽  
Christian Macke ◽  
Stefan Hankemeier ◽  
Tobias Hüfner ◽  
Christian Schröter ◽  
...  
Keyword(s):  
Fibrous Dysplasia ◽  
Intramedullary Nail ◽  
Femoral Fracture ◽  
Hip Prosthesis ◽  
Special Solution ◽  
Subtrochanteric Femoral Fracture

scholarly journals A hybrid treatment modality of a subtrochanteric femoral fracture in a patient with osteoporosis due to a renal Fanconi syndrome: a case report

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Stefan F Lange ◽  
Tim K J Schrooten ◽  
Ralph J de Wit ◽  
Reinier de Groot
Keyword(s):  
Femoral Fracture ◽  
Fanconi Syndrome ◽  
Treatment Method ◽  
Contralateral Side ◽  
Fracture Probability ◽  
Renal Fanconi Syndrome ◽  
Screw Osteosynthesis ◽  
Hybrid Treatment ◽  
Polymer Implant ◽  
Subtrochanteric Femoral Fracture

Abstract A 24-year-old male with an idiopathic renal Fanconi syndrome presented to our ER after a low-energetic fall. Conventional imaging revealed a right subtrochanteric femoral fracture, severely decreased bone quality and cannulated collum femoris screws on the contralateral side. Regular plate-screw osteosynthesis or cephalomedullary implantation was deemed insufficient, due to a high iatrogenic and periprosthetic fracture probability. The decision was made to perform a plate-screw osteosynthesis combined with an intramedullary polymer bone enhancement (IlluminOss), to minimize this risk. No complications occurred perioperatively. The patient was able to walk independently two months postoperatively. This case shows that use of polymer implant as an enhancement of osteosynthesis in repair of fractures in the Fanconi syndrome is a safe and possible useful treatment method.

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