Avascular necrosis post subcapital NOF fracture

Case contributed by Dr Chris O'Donnell

Presentation

NOF fracture in 2008, with dynamic hip screw removed. Now hip pain.

Patient Data

Age: 65
Gender: Male
Modality: X-ray

Malunited subcapital fracture in valgus position with secondary chnages in the femoral head including sclerosis and flattening with irregularity of the articular surface.  One of the major complications of subcapital fracture pinning is seconday 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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Case Information

rID: 17646
Case created: 2nd May 2012
Last edited: 25th Aug 2016
Inclusion in quiz mode: Included

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