IMPLANT CUT OUT SUB TROCH # FEMUR

[CHERRY KOVOOR]

Dear all

77  yr old lady-

H/O fall at home 8 months ago . subtrochantric # femur . Treated elsewhere with DCS when medically fit.

Since last 3 months pt cannot walk – severe pain

In addition OA knees also

X-ray jan2010 shows – head screw cur out , collapse of the # into varus [ I don’t know if another # neck of femur has occurred]

Now what is to be done? I have suggested a THR .

Requesting opinions

 

DR C CHERIAN KOVOOR

KOCHI

INDIAS

[Olasinde Anthony]

 THR may be option at this stage.

Tony Olasinde

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[Dr Shamsul Hoda]

Go 4 THR

Dr Shamsul Hoda "Human Carpenter"

[Cicero]

THR is the best choice, maybe you'll have problem with the femoral canal, go slowly.

Cicero

 

Cicero Moraes - ortopedia e Traumatologia

CRM 27865

Ortoclinic

[Alexander Chelnokov]

hI

2010/2/4 CHERRY KOVOOR <kovo...@gmail.com>

 

X-ray jan2010 shows – head screw cur out , collapse of the # into varus [ I don’t know if another # neck of femur has occurred]

The head looks good enough, so i'd remove hardware, provide valgus reduction and fix the femur with gamma nail or similar implant.

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Best regards,
Alexander N. Chelnokov
Ural Scientific Research Institute
of Traumatology and Orthopaedics
7, Bankovsky str. Ekaterinburg 620014 Russia