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Case Reports in Orthopedics
Volume 2017, Article ID 5246080, 5 pages
https://doi.org/10.1155/2017/5246080
Case Report

Proximal Femoral Fracture in Hip Arthrodesis Treated with Double Reconstruction Plates

Department of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, University of Tsukuba, 3-2-7 Miya-Machi, Mito, Ibaraki 310-0015, Japan

Correspondence should be addressed to Takeo Mammoto; pj.ph-odoykotim@oekatotommam

Received 14 April 2017; Accepted 18 May 2017; Published 11 June 2017

Academic Editor: Bayram Unver

Copyright © 2017 Shunsuke Asakawa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a rare clinical case of a 90-year-old female who sustained a proximal femoral neck fracture following long-standing hip arthrodesis. Since the fracture occurred relatively proximally and involved the pelvis, double-plate fixation was chosen to achieve rigid fixation. The reconstruction plate was placed at the posterior and anterior columns individually through single vertical incision. She was treated successfully, and she attained preinjury activity level. Proximal femoral fractures in arthrodesed hips need to be recognized as a fracture between the pelvis and femur. Rotational stress from the trunk and lower extremity requires rigid fixation to minimize the increase of displacement and the risk for nonunion.