Key result
Prophylactic fixation of an incomplete subtrochanteric femur fracture using a proximal femoral nail allowed immediate weight-bearing and resulted in pain-free bony union at 1 year.
Why the study?
Does prophylactic fixation using a proximal femoral nail improve outcomes in a patient with an incomplete subtrochanteric femur fracture due to a low-velocity gunshot injury?
Case Report (n=1)
Does prophylactic fixation using a proximal femoral nail improve outcomes in a patient with an incomplete subtrochanteric femur fracture due to a low-velocity gunshot injury?
Prophylactic fixation with a proximal femoral nail may be an effective treatment for incomplete subtrochanteric femur fractures from low-velocity gunshot injuries to prevent complete fracture and displacement.
May support early mobilization after prophylactic nailing; leaves open comparative efficacy versus nonoperative care.
We report on a 17-year-old man who underwent prophylactic fixation of the incomplete subtrochanteric femur fracture produced by a low-velocity gunshot. The subtrochanteric region is a high-stress site. Therefore, to avoid progression to complete fracture and displacement requiring secondary surgical stabilization, we used a proximal femoral nail for prophylactic fixation of the incomplete subtrochanteric femur fracture. The patient was able to walk and bear weight on the injured side immediately after surgery. At the 1-year follow-up, the patient was pain-free with a full range of motion of his right hip and had a bony union.
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Wang et al. (2015) conducted a case report in Incomplete subtrochanteric femur fracture due to a low-velocity gunshot injury (n=1). Prophylactic fixation using a proximal femoral nail was evaluated on Clinical and radiographic outcomes (pain, range of motion, bony union). Prophylactic fixation of an incomplete subtrochanteric femur fracture using a proximal femoral nail allowed immediate weight-bearing and resulted in pain-free bony union at 1 year.
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