Subcapital fracture complicating fixation of an intertrochanteric fracture from osteomyelitis.
Subcapital fractures after open reduction and internal fixation of intertrochanteric hip fractures have not previously been attributed to osteomyelitis. We report a unique case of a 63-year-old man with isolated subclinical osteomyelitis of the femoral neck causing ischemic necrosis and subcapital fracture after sliding screw plate fixation of an ipsilateral intertrochanteric fracture.
Department of Orthopaedic Surgery, VA Medical Center, North Port, New York.
L J
LJ
Lombardi
D J
DJ
Cleri
P R
PR
Goldhagen
J B
JB
Halligan
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001860:Bone Plates / Q000009:adverse effects*; D001863:Bone Screws / Q000009:adverse effects*; D003131:Combined Modality Therapy; D003646:Debridement; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D016908:Gram-Positive Bacterial Infections / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D011859:Radiography; D013530:Surgical Wound Infection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy
D000900:Anti-Bacterial Agents