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Fatigue subcapital fracture of the femur after the removal of the hip plate in transtrochanteric rotational osteotomy.
Takada, Junichi; Nagoya, Satoshi; Kuwabara, Hiroki; Yamashita, Toshihiko; Ishii, Seiichi; Kukita, Yutaka.
Afiliación
  • Takada J; Department of Orthopedic Surgery, School of Medicine, Sapporo Medical University, South-1, West-16, Chuo-ku, Sapporo 060-8543, Japan.
J Orthop Sci ; 7(1): 137-42, 2002.
Article en En | MEDLINE | ID: mdl-11819146
We report two cases of fatigue subcapital fracture of the femur after the removal of the hip plate used for fixation in transtrochanteric rotational osteotomy for osteonecrosis. Two patients, a 42-year-old man and a 43-year-old man, underwent transtrochanteric rotational osteotomy, and bony union was achieved in both patients. However, fatigue subcapital fracture of the femur occurred in both patients 15 months after the removal of the hip plate. Transtrochanteric rotational osteotomy greatly changes the trabecular bone structure in the proximal femur, thus affecting the strength of the femoral neck. Therefore, for the trabecular bone to be remodeled and for the proximal femur to achieve sufficient strength, a sufficient period is necessary after complete bony union has occurred in the transtrochanteric lesion, before removal of the plate.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteotomía / Remoción de Dispositivos / Fracturas del Cuello Femoral / Necrosis de la Cabeza Femoral Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Humans / Male Idioma: En Revista: J Orthop Sci Asunto de la revista: ORTOPEDIA Año: 2002 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Buscar en Google
Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteotomía / Remoción de Dispositivos / Fracturas del Cuello Femoral / Necrosis de la Cabeza Femoral Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Humans / Male Idioma: En Revista: J Orthop Sci Asunto de la revista: ORTOPEDIA Año: 2002 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón