Prophylactic fixation of an incomplete subtrochanteric femur fracture due to a low-velocity gunshot injury: A unique case

Sin Jhang Wang; Chih Chien Wang; Chian Her Lee; Yuan Ta Li; Jen Ta Shih; Leou Chyr Lin; Hsain Chung Shen

doi:10.4103/1011-4564.173010

Prophylactic fixation of an incomplete subtrochanteric femur fracture due to a low-velocity gunshot injury: A unique case

Sin Jhang Wang, Chih Chien Wang, Chian Her Lee, Yuan Ta Li, Jen Ta Shih, Leou Chyr Lin, Hsain Chung Shen

Research output: Contribution to journal › Comment/debate › peer-review

Abstract

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.

Original language	English
Pages (from-to)	258-260
Number of pages	3
Journal	Journal of Medical Sciences (Taiwan)
Volume	35
Issue number	6
DOIs	https://doi.org/10.4103/1011-4564.173010
Publication status	Published - Nov 2015

Keywords

Gunshot
Proximal femoral nail
Subtrochanteric femur fracture

ASJC Scopus subject areas

General Medicine

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10.4103/1011-4564.173010

Cite this

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title = "Prophylactic fixation of an incomplete subtrochanteric femur fracture due to a low-velocity gunshot injury: A unique case",

abstract = "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.",

keywords = "Gunshot, Proximal femoral nail, Subtrochanteric femur fracture",

author = "Wang, {Sin Jhang} and Wang, {Chih Chien} and Lee, {Chian Her} and Li, {Yuan Ta} and Shih, {Jen Ta} and Lin, {Leou Chyr} and Shen, {Hsain Chung}",

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AU - Wang, Sin Jhang

AU - Wang, Chih Chien

AU - Lee, Chian Her

AU - Li, Yuan Ta

AU - Shih, Jen Ta

AU - Lin, Leou Chyr

AU - Shen, Hsain Chung

PY - 2015/11

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N2 - 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.

AB - 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.

KW - Gunshot

KW - Proximal femoral nail

KW - Subtrochanteric femur fracture

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Prophylactic fixation of an incomplete subtrochanteric femur fracture due to a low-velocity gunshot injury: A unique case

Abstract

Keywords

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