PMC3700455_01
Anteroposterior radiograph showing the arthrodesed hip, right intertrochanteric fracture, and the neglected left hip congenital dislocation.
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Plain x-rays showed successful arthrodesis of the right hip joint, very high coxa valga, and a severely displaced intertrochanteric fracture and neglected left hip dislocation (Figure 1).
Anteroposterior radiograph of the right hip showing the fracture fixation.
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Because of the patient's characteristics (young female, ambitious teacher, and untreated left DDH), the nature of the fracture (widely displaced, and coxa valga), and after long discussion, we decided that the best treatment was to perform open reduction and internal fixation using a heavy duty locked plate and cannulated screws (Figure 2).