PMC5620411_01
Anterio-posterior pelvic radiograph of Case 1 following the fall (a).
TOORTHJ-11-600_F1.jpg
PMC5620411_01_TOORTHJ-11-600_F1.jpg
F1
The patient on radiographs had a displaced intracapsular and intertrochanteric fracture (Fig. 1a). To address these factors, the patient underwent a complex primary total hip replacement with a constrained liner and trochanteric grip plate (Fig. 1b).
and after total hip replacement and insertion of trochanteric grip plate (b).
TOORTHJ-11-600_F1b.jpg
PMC5620411_01_TOORTHJ-11-600_F1b.jpg
F1b
 Case 2: An 82 year old independent male with a history of hip osteoarthritis had a simple mechanical fall sustaining an intracapsular fracture with concominant subtrochanteric fracture (Fig. 2a). Due to the segmental nature of the fracture and the pre-existing severe arthritis, fixation was not considered a valid option, and the patient underwent a total hip replacement with plate stabilisation for the fracture extension (Fig. 2b).
Anterio-posterior pelvic radiograph of Case 2 following the fall (a).
TOORTHJ-11-600_F2a.jpg
PMC5620411_01_TOORTHJ-11-600_F2a.jpg
F2a
She had a fall and radiographs revealed an intracapsular fracture with concominant subtrochanteric fracture with diaphyseal extension (Fig. 3a). A primary femoral stem was not appropriate in view of the fracture configuration and extension, therefore an uncemented modular, taper-fluted titanium stem with a bipolar head was used (Fig. 3b).