title: Intertrochanteric fracture under an arthrodesed hip.
abstract: METHODS
  Female, 30.
  Intertrochanteric fracture under an arthrodesed hip.
  Developmental dysplasia of the hip.
  
  
  METHODS
  Pain • inability to walk.
  
  
  METHODS
  Open reduction and internal fixation.
  
  
  METHODS
  Orthopedics and traumatology.
  
  
  OBJECTIVE
  Rare disease, Unusual setting of medical care.
  
  
  BACKGROUND
  An intertrochanteric fracture among elderly people is common, but it is rare to see such a fracture under a longstanding hip arthrodesis. Its surgical management represents a real challenge to orthopedic surgeons.
  
  
  METHODS
  A 30-year-old female teacher with long-standing hip arthrodesis was involved in a traffic accident. Clinical and radiological examination revealed the presence of a displaced intertrochanteric fracture under an arthrodesed hip and high neck shaft angle. Before embarking on surgery, we have to consider many factors such as patient personality (a young active and ambitious woman) and the mature of the fracture (a displaced fracture, coxa valga, and atrophied muscles). After a deep discussion and evaluation of the available devices, we selected a heavy duty locked plate and cannulated screws to fix the fracture.
  
  
  CONCLUSIONS
  Because of the rarity of intertrochanteric fracture under an arthrodesis hip, the proper surgical treatment is controversial. Nevertheless, we were fortunate in successfully treating this unusual fracture using a locked plate and cannulated screws, which are implants that can be useful in treatment of such fractures.
authors.affiliation: Department of Orthopedics, Jordan University of Science and Technology, Irbid, Jordan.
authors.forename: Fayeq M
authors.initials: FM
authors.lastname: Darwish
authors.forename: Walid
authors.initials: W
authors.lastname: Haddad
keywords: arthrodesis; hip; intertrochanteric fracture