PMC7276569_01
Bilateral anterior-posteriorhip and lateral left hip X-ray: Diagnostic X-ray at the first evaluation, depicting the trochanteric fracture in a previous arthrodesed hip.
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F1
The radiographic and tomographic evaluation showed an intertrochanteric fracture in a long-lasting ankylosed hip (Fig. 1 and 2).
Computed tomographyscan of the left hip: A more detailed image of the fracture and the arthrodesed hip.
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F2
The radiographic and tomographic evaluation showed an intertrochanteric fracture in a long-lasting ankylosed hip (Fig. 1 and 2).
Bilateral anterior-posterior hip X-ray: Immediate post-operative control after fracture osteosynthesis.
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F3
Expecting a great stress in the fracture site, this construction was reinforced with a 3.5 mm pelvic reconstruction plate, with 8mmx3.5 mm cortical screws, spanning from the iliac wing to the proximal femur (Fig. 3 and 4).
Alar and obturator left hip X-ray: Immediate post-operative control after fracture osteosynthesis.
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F4
Expecting a great stress in the fracture site, this construction was reinforced with a 3.5 mm pelvic reconstruction plate, with 8mmx3.5 mm cortical screws, spanning from the iliac wing to the proximal femur (Fig. 3 and 4).
Bilateral anterior-posterior hip X-ray: Threeweeks post-operative showing no secondary loss of reduction and a stable construct.
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F5
Due to the poor bone quality and the unusual long lever arm, the patient was not permitted to walk until 3weeks after the intervention (Fig. 5) and only partial weight-bearing afterward.
Bilateral anterior-posterior hip X-ray: Threemonths after fracture showing the uneventful healing of the fracture.
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F6
Bone healing occurred after 3months, allowing the patient to walk with a single cane and full weight-bearing (Fig. 6).