PMC8046477_01
PBH X-ray showing left subtrochanteric fracture with diffuse irregular cortical and trabecular bone thickening of the left femur.
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F1
Plain radiographs of the left hip with femur anteroposterior and lateral views revealed left subtrochanteric fracture with diffuse irregular cortical and trabecular bone thickening from the femoral head to lower third of the left femur (Fig. 1, 2).
X-ray of the left hip with femur lateral view showing subtrochanteric fracture.
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F2
Plain radiographs of the left hip with femur anteroposterior and lateral views revealed left subtrochanteric fracture with diffuse irregular cortical and trabecular bone thickening from the femoral head to lower third of the left femur (Fig. 1, 2).
Magnetic resonance imaging pelvis with both hips showing pathological subtrochanteric fracture with Pagets disease.
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F3
Intraoperative C arm image showing the proximal fixation with fracture reduction.
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F4
Long proximal femoral nail (PFN) was inserted (size 11 mm x 38 cm) with proximal and distal locking (Fig. 4).
Immediate post-operative X-ray showing fixation with long proximal femoral nail.
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F5
The post-operative X-ray showed acceptable fracture reduction (Fig. 5, 6), the patient was mobilized off the bed from the 2nd post-operative day with partial weight-bearing.
Immediate post-operative x-ray lateral view.
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F6
The post-operative X-ray showed acceptable fracture reduction (Fig. 5, 6), the patient was mobilized off the bed from the 2nd post-operative day with partial weight-bearing.
Follow-up X-ray at 1 year AP view.
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F7
The X-ray showed the union at the fracture site (Fig. 7, 8).
Follow-up X-ray at 1 year lateral view.
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F8
The X-ray showed the union at the fracture site (Fig. 7, 8).