Presentation
Neck of femur fracture in 2008, with dynamic hip screw removed. Now hip pain.
Patient Data
Age: 65 years
Gender: Male
From the case:
Avascular necrosis of the hip - post subcapital fracture
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Malunited subcapital fracture in valgus position with secondary changes in the femoral head including sclerosis and flattening with irregularity of the articular surface, suggestive of avascular necrosis of the femoral head.
Case Discussion
One of the major complications of subcapital fracture pinning is secondary avascular necrosis thus in older patients the orthopods will remove and replace with a Moore or unipolar prosthesis or total hip prosthesis if the acetabular surface is degenerate.
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