Subtrocantheric nonunion following fracture of an arthrodesed hip: a case report

Main Article Content

Francesco Pogliacomi
Fabrizio Tacci
Filippo Calderazzi
Martina Francesca Pedrini
Daniele Casalini
Enrico Vaienti
Francesco Ceccarelli

Keywords

hip, arthrodesis, fracture, nonunion

Abstract

In recent years in the era of successful of total hip replacement, hip arthrodesis is rarely performed.
The anatomy and biomechanics of an arthrodesed hip is altered, thus influencing the treatments strategies
in case of fracture or nonunions. This case report describes the management and therapeutic solution for the
treatment of subtrochanteric nonunion in a patient with hip arthrodesis. Satisfactory outcomes were finally
obtained after a double surgical procedure.

Abstract 467 | PDF Downloads 185

References

1. Manzotti A, Confalonieri N, Pullen C. Intertrochanteric fracture of an arthrodesed hip. J Bone Joint Surg Br. 2007; 89: 390-92.

2. Zeiler G, Schuh A. Arthrodesis of the hip and its conversion. Orthopaedics 2004; 33: 939-56 (in German).

3. Barnhardt T, Stiehl JB. Hip fusion in young adults. Orthopaedics 1996; 19: 303-6.

4. Schoenecker PL, Johson LO, Martin RA, Doyle P, Capelli AM. Intra-articular hip arthrodesis without subtrochanteric osteotomy in adolescents: technique and short-term follow-up. Am J Orthop 1997; 26: 257-64.

5. Siebenrock KA, Gautier E, Matta JM, Mehne D, Ganz R. New technique for a hip arthrodesis using an anterior approach and a ventral plate. Orthopaedics 1996; 25: 140-5.

6. Bankes MJ, Simmons JM, Catterall A. Hip arthrodesis with the dynamic hip screw. J Pediatr Orthop 2002; 22: 101-4.

7. Onji Y, Kurata Y, Kido H. A new method of hip fusion using an intramedullary nail. J Bone Joint Surg [Br] 1965; 47-B: 690-3.

8. Brien WW, Golz RJ, Kuschner SH, Brien EW, Wiss DA. Hip joint arthrodesis utilizing anterior compression plate fixation. J Arthroplasty 1994; 9: 171-6.

9. Endo N, Takahashi HE, Toyama H, et al. Arthrodesis of the hip joint using an external fixator. J Orthop Sci 1999; 4: 342-6.

10. Shunsuke Asakawa,Takeo Mammoto,and Atsushi Hirano. Proximal Femoral Fracture in Hip Arthrodesis Treated with Double Reconstruction Plates. Hindawi Case Reports in Orthopedics Volume 2017, Article ID 5246080, 5 pages

11. Wagner M, Wagner H. Hip joint arthrodesis using the cobra plate. Indication, technique, outcome. Orthopade 1996 Apr; 25(2): 129-39.

12. Fuchs B, O'Connor MI, Kaufman KR, Padgett DJ, Sim FH. Iliofemoral arthrodesis and pseudarthrosis: a long-term functional outcome evaluation. Clin Orthop Relat Res 2002 Apr; (397): 29-35.

13. Pascarella R, Cerbasi S, Maresca A, Sangiovanni P, Fantasia R. Unusual presentation of recurrent subtrochanteric non-union in a patient with hip arthrodesis: A case report. Injury 2018 Dec; 49 Suppl 4: S2-S8.

14. Weber BG. (1987) Hip Arthrodesis. In: Tronzo R.G. (eds) Surgery of the Hip Joint. Springer, New York, NY

15. Liechti R. (1978) Biomechanics of Hip Arthrodesis and Internal Fixation: Kinetics and Elastometry. In: Hip Arthrodesis and Associated Problems. Springer, Berlin, Heidelberg

16. B.Liand B, R.M.Aspden RM. Material properties of bone from the femoral neck and calcar femoral of patients with osteoporosis or osteoarthritis. Osteoporosis International 1997; 7(5): 450-6.

17. Wulke AP, Mader K, Pennig D. Femoral neck fracture in an arthrodesed hip treated by a supracondylar intramedullary locked nail. Journal of Orthopaedic Trauma 2004; 18(2): 116-8.

18. Jones LD, Hampton ER, Ansari EA. A treatment option for femoral neck fractures complicating hip arthrodesis: conversion to a constrained total hip replacement. Eur J Orthop Surg Traumatol 2007; 17: 203-5

19. Wong TC,Rikhraj IS. Femoral Shaft Fracture in a Hip Arthrodesis: Two Cases of Retrograde Interlocking Nailing. Singapore Med J 2004; 45(2) : 85.

20. Pogliacomi F, Pellegrini A, Tacci F, Pedrini MF, Costantino C, Pedrazzini A, Pedrazzi G, Lauretani F, Vaienti E, Ceccarelli F. Risks of subsequent contralateral fractures of the trochanteric region in elderly. Acta Biomed. 2016; 87(3): 275-281.

21. Pellegrini A, Tacci F, Leigheb M, Costantino C, Pedrazzini A, Pedrazzi G, Vaienti E, Ceccarelli F, Pogliacomi F. Injuries of the trochanteric region: can analysis of radiographic indices help in prediction of recurrent osteoporotic hip fractures? Acta Biomed. 2017 Oct 18;88(4 -S):43-49.

22. Bernuzzi G, Petraglia ., Pedrini MF, De Filippo M, Pogliacomi F, Verdano MA, Costantino C. Use of platelet-rich plasma in the care of sports injuries: our experience with ultrasound-guided injection. Blood Transfusion 2014; 12 Suppl 1: s229-34.

23. Leigheb M, Pogliacomi F, Bosetti M, Boccafoschi F, Sabbatini M, Cannas M, Grassi . Postoperative blood salvage versus allogeneic blood transfusion in total knee and hip arthroplasty: a literature review. Acta Biomed. 2016 Apr 15;87 Suppl 1: 6-14.

24. Bosetti M, Leigheb M, Boccafoschi F, Brooks R, Cannas M. Regulation of osteoblast and osteoclast functions by FGF-6. J Cell Physiol 2010 Nov; 225(2): 466-71.

25. Bosetti M, Boccafoschi F, Leigheb M, Cannas M. Effect of different growth factors on human osteoblasts activities: a possible application in bone regeneration for tissue engineering. Biomol Eng 2007 Dec.; 24(6): 613-618.

26. Follo F, Dejana DO, Belletti M, Bongiovanni N, Scarpa G, Pezzali P, Borsi S, Sanfilippo L, Lusetti N, Zaini L, Loritto P, Pogliacomi F, Pedrazzini A. Management and effect of platelet-rich plasma on wound healing: small reality of Oglio Po Hospital. Acta Biomed. 2017 Nov 30; 88(5-S): 66-70.