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THA Periprosthetic Fracture
Posted: Jul 31 2021 #(C101775)
A

Periprosthetic Femur Fracture in 71 M

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HPI

A 71-year-old male presents to the trauma bay after sustaining a ground level fall and landing on his right leg. He admits to severe right thigh and knee pain. He reports undergoing an uncomplicated right total hip arthroplasty 5 years prior and had been doing well without pain prior to her fall. He denies any numbness and tingling of the right leg.

PMH

PMH: COPD, CAD PSH: Right THA (5 years prior)

PE

Focused physical examination of the right lower extremity reveals a well healed prior posterior hip incision without any open wounds. He has TTP about the right thigh. Pain with log roll or any manipulation of the right leg. He is neurovascularly intact.

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In addition to plain film radiographs, would you obtain any further imaging to guide your treatment?
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P: 134655
Would you use a classification system for this injury to guide management?
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P: 134656
How would you manage this injury?
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P: 134657
If you choose Operative management, how would you definitively manage this patient?
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P: 134662
If you choose Open reduction internal fixation (ORIF), what approach would you use?
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P: 134678
If you choose Open reduction internal fixation (ORIF) only, what technique would you use?
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P: 134663
If you choose Open reduction internal fixation (ORIF) with plate fixation, how would you obtain proximal plate fixation?
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P: 134665
If you choose ORIF and obtained the construct below, when would you allow weight bearing?
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P: 134664
PROCEDURE #1

ORIF right periprosthetic femur fracture

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