Operative management of a subtrochanteric fracture in severe osteoporosis. a case report.
BACKGROUND
Fractures of the subtrochanteric region of the femur provide several challenges to the operating surgeon due to anatomic and biomechanical peculiarities inherent to this region. These challenges are compounded several times in a severely porotic bone.


METHODS
We report a case with severe osteoporosis who sustained a subtrochanteric fracture and was managed with a Dynamic condylar screw DCS. Three years after the surgery the patient is pain free and has a full range of motion.


CONCLUSIONS
This highlights the fact that the DCS provides a viable alternative in the management of fractures of the subtrochanteric region in severe osteoporosis. This advantage is particularly manifest in settings where the image intensifier is not easily available.
Dhar
Shabir Ahmed
SA
Department of Orthopaedics, Government Medical College, Srinagar, Jammu and Kashmir, India. shabirdhar@yahoo.co.in.
Halwai
Manzoor Ahmed
MA
Wani
Mohammed Iqbal
MI
Butt
Mohammed Farooq
MF