PMC7232726_01
Anteroposterior (a) and lateral (b) radiographs of the femur showing the failure of osteosynthesis of the subtrochanteric fracture.
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Radiographic images evidenced a failure of osteosynthesis and pseudoarthrosis of the fracture (Figure 1).
Postoperative anteroposterior (a) and lateral (b) radiographs of the first revision surgery described.
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Both implants are covered with polymethyl methacrylate cement (PMMA) with local vancomycin (Figure 2).
Anteroposterior (a) and lateral (b) radiographs of the femur showing the failure of the first revision configuration.
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A new biopsy is performed with negative results (Figure 3).
Postoperative anteroposterior (a) and lateral (b) radiographs of the third revision surgery described.
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Also a reconstruction plate of 3.5 mm is used for the femoral neck fracture, applying compression on the focus (Figure 4).
Anteroposterior (a) and lateral (b) radiographs showing the pull out of the intramedullary nail of the femur.
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Biopsy cultures remain negative, with no reactivation of the previous infection (Figure 5).
Postoperative anteroposterior radiograph of the femur after the last revision surgery.
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T plate is used to gain lateral stability. The femoral neck fracture is consolidated, and no new surgeries were needed (Figure 6).
Two-year follow-up. Anteroposterior (a) and lateral (b) radiographs of the femur.
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New radiologic studies evidence signs of fracture consolidation of the subtrochanteric fracture (Figure 7).