PMC3504240_01
Anteroposterior radiograph showing an intertrochanteric fracture of the right hip joint that was ankylosed because of arthrodesis performed 56 years earlier.
CRIM.ORTHOPEDICS2012-278156.001.jpg
PMC3504240_01_CRIM.ORTHOPEDICS2012-278156.001.jpg
fig1
A plain radiograph revealed an intertrochanteric fracture and severe deformity of the right hip joint (Figure 1).
CT imaging around the hip showing marked gluteus muscle atrophy.
CRIM.ORTHOPEDICS2012-278156.002.jpg
PMC3504240_01_CRIM.ORTHOPEDICS2012-278156.002.jpg
fig2
Computed tomography (CT) imaging of the right hip joint revealed a displaced intertrochanteric fracture under the ankylosed hip joint and marked atrophy of the gluteus muscles (Figure 2).
Anteroposterior radiograph captured after the operation showing the intertrochanteric fracture stabilized with a gamma nail.
CRIM.ORTHOPEDICS2012-278156.003.jpg
PMC3504240_01_CRIM.ORTHOPEDICS2012-278156.003.jpg
fig3
The instrument used was a gamma nail (Stryker Howmedica) (Figure 3).
Anteroposterior radiograph captured 8 months after the operation showing strong bone union.
CRIM.ORTHOPEDICS2012-278156.004.jpg
PMC3504240_01_CRIM.ORTHOPEDICS2012-278156.004.jpg
fig4
One year after the operation, bone union was completely achieved, and the patient was satisfied with his ability to walk with double crutches (Figure 4).