title: A rare complication after intertrochanteric fracture treated with proximal femoral nail: femoral neck insufficiency fracture.
abstract: We present a case, 82-year-old woman, sustaining intertrochanteric fracture treated with proximal femoral nail. Up to 14 months postoperatively, everything went on seamlessly. Then, there was a rapid onset of worsening of the functional capacity. She came to outpatient clinic by using wheelchair. Plain X-rays revealed a femoral neck fracture on the operative side with no history of trauma. Laboratory studies showed no significant abnormalities but vitamin D [25 (OH) D] level was 14.82 ng/ml. X-ray survey of skeletal system was not indicative of osteomalacia. We performed total hip replacement instead of internal fixation due to patient's age. Vitamin D replacement therapy was launched. Three months later, she was totally satisfactory with clinical result and 25 (OH) D level increased to 53.68 ng/ml. At the last visit, the patient was pain free and active in all her recreational activities.
authors: Bozyaka Education and Research Hospital, Orthopaedics and Traumatology Clinics, 6445 sokak No:10/4, 35550, Karsiyaka, Izmir, Turkey, cemilkayali@yahoo.com.
authors: Cemil
authors: C
authors: Kayali
authors: Taskin
authors: T
authors: Altay
authors: Zafer
authors: Z
authors: Kement
authors: Serhan
authors: S
authors: Yagdi
authors: Semmi
authors: S
authors: Koyuncu
mesh_terms: D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D001858:Bone Nails; D005260:Female; D005265:Femoral Neck Fractures / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D051346:Mobility Limitation; D011183:Postoperative Complications / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D016059:Range of Motion, Articular; D014807:Vitamin D / Q000627:therapeutic use; D014808:Vitamin D Deficiency / Q000150:complications*; D014815:Vitamins / Q000627:therapeutic use
chemical_list: D014815:Vitamins; D014807:Vitamin D