title: Intramedullary fixation of pertrochanteric fractures after hip resurfacing arthroplasty - Do we have the answer? Case report and literature review.
abstract: OBJECTIVE
  To report a case of a peri-prosthetic hip fracture fixed using a previously unreported technique of intramedullary nailing with dual proximal fixation.
  
  
  METHODS
  An 81-year-old nursing home resident suffered a multi-fragmentary peri-prosthetic hip fracture around a Birmingham Hip Resurfacing arthroplasty (BHR), which was fixed using a novel technique.
  
  
  CONCLUSIONS
  Such fractures pose a significant surgical dilemma with regards to the optimal method of treatment. The increasing popularity of these implants suggests that these fractures will become increasingly common.
  
  
  CONCLUSIONS
  We believe that our technique provides a practical and satisfactory solution to these fractures.
authors.affiliation: Department of Trauma and Orthopaedics, Epsom & St Helier University Hospitals NHS Trust, Wrythe Lane, Carshalton, Surrey, UK.
authors.forename: Samik
authors.initials: S
authors.lastname: Banerjee
authors.affiliation: Department of Trauma and Orthopaedics, Epsom & St Helier University Hospitals NHS Trust, Wrythe Lane, Carshalton, Surrey, UK.
authors.forename: Timothy
authors.initials: T
authors.lastname: Little
authors.affiliation: Department of Trauma and Orthopaedics, Epsom & St Helier University Hospitals NHS Trust, Wrythe Lane, Carshalton, Surrey, UK.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Little
keywords: Hip resurfacing arthroplasty; Intramedullary fixation; Peri-prosthetic fracture