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Spontaneous Femoral Neck Fracture Complicating a Healed Subtrochanteric Fracture- a Case Report

股骨轉子下骨折癒合後併發自發性股骨頸骨折-病例報告

摘要


報導一列臨床上極為罕見的股骨轉子下骨折癒合後併發自發性股骨頸骨折的病例。病人因輕微的創傷造成轉子下骨折但並未合併其他傷害。在兩天後接受閉鎖性復位及內固定手術。並且在三個月後骨折完全癒合。手術六個月後,自發性股骨頸骨折。據我們所知,這是第一例在無手術缺失下,以95度DCS固定股骨轉子下骨折癒合後發生自發性股骨頸骨折的報導。

關鍵字

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並列摘要


A rare case of spontaneous femoral neck fracture complicating a healed subtrochanteric fracture was encountered in an 85-year-old female. The subtrochanteric fracture was caused by a minor trauma with no other combined injury. Patient received close reduction and internal fixation two days later and the fracture healed in three months. Six months after operation, spontaneous ispilateral femoral neck fracture occurred without trauma. Although there were some reports about subcapital fracture or femur neck fracture complication after operation, this is the first case of spontaneous femoral neck fracture after healed subtrochanteric fracture which was treated with a 95°dynamic condylar screw (DCS) and side plate previously without technical error.

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