Non-union of Intertrochanteric Fracture Right Femur with Limb Shortening
Htay Lwin *
Department of Community Medicine, Family Medicine Unit, Melaka-Manipal Medical College, Manipal Academy of Higher Education, Melaka, Malaysia.
Htoo Htoo Kyaw Soe
Department of Community Medicine, Melaka-Manipal Medical College, Manipal Academy of Higher Education, Melaka, Malaysia.
Adinegara Lutfi Abas
Department of Community Medicine, Melaka-Manipal Medical College, Manipal Academy of Higher Education, Melaka, Malaysia.
Mila Nu Nu Htay
Department of Community Medicine, Melaka-Manipal Medical College, Manipal Academy of Higher Education, Melaka, Malaysia.
Kaung Khant Zaw
Orthopedic Hospital, Mandalay, Myanmar.
Soe Moe
Department of Community Medicine, Melaka-Manipal Medical College, Manipal Academy of Higher Education, Melaka, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Nonunion of intertrochanteric fracture is uncommon because there are excellent blood supply and good cancellous bone in the intertrochanteric region of the femur. A diagnosis of primary intertrochanteric nonunion is made when at least 15 weeks after the fracture there is radiological evidence of a fracture line, with either no callus (atrophic) or with callus that does not bridge the fracture site (hypertrophic). The patient was subsequently treated successfully with an open reduction procedure. Open reduction and internal fixation with right DHS (Dynamic Hip Screw) with 8 screw holes plate inserted first and then 6 screws inserted under the guidance of Image Intensifier (C Arm). We would like to report a case of right intertrochanteric fracture with non-union. A 60 years old patient presented with the history of pain in the right hip, off and on for many years after the operation. The pain was associated with stiffness of the right hip joint. This case is selected for reporting because it’s a relatively rare incidence.
Keywords: Hip disorder, intertrochanteric fracture, hip pain, old age.