RESUMO
We present a case of symptomatic trochanteric non-union following total hip replacement treated initially with a Dall-Miles grip plate. After failure of this treatment, the patient had a two-stage revision. Trochanteric non-union is one of the well-described complications after total hip replacement. It is frequently difficult to treat, while potentially causing weakness, altered gait and instability of the artificial joint. We believe that reattachment of the trochanter combined with a staged revision of the femoral stem using a posterior approach for the second stage could be a valuable technique to be added to the orthopaedic armamentarium for recurrent and symptomatic trochanteric non-unions after primary total hip replacement, particularly after failure to treat with all the other techniques described in literature.
Assuntos
Artroplastia de Quadril/efeitos adversos , Fêmur/cirurgia , Reoperação/métodos , Artroplastia de Quadril/métodos , Feminino , Prótese de Quadril , Humanos , Pessoa de Meia-Idade , Falha de PróteseAssuntos
Artrite Infecciosa/diagnóstico , Competência Clínica , Relações Interprofissionais , Falência Renal Crônica/terapia , Osteomielite/diagnóstico , Artrite Infecciosa/complicações , Criança , Dor de Orelha , Diagnóstico Precoce , Feminino , Humanos , Lactente , Masculino , Osteomielite/complicações , Equipe de Assistência ao Paciente/normas , Readmissão do Paciente , Escarlatina/terapiaRESUMO
Radial head and neck fractures are the most frequently seen elbow fractures. The usual cause of this injury is a fall onto an outstretched hand with a partly flexed elbow. We report here an unusual case of bilateral non displaced radial neck fractures in a patient who presented with complaints of pain in both elbows following a simple fall. This case highlights the need for a high index of suspicion in the diagnosis of multiple injuries, no matter how `trivial` the mechanism of injury.
