AI Article Synopsis
- Osteonecrosis of the femoral head (ONFH) can lead to serious complications like femoral head collapse and hip dysfunction if not treated properly, with core decompression being crucial for early cases.
- A case study of a 34-year-old male patient illustrates that after undergoing core decompression for ONFH, he experienced a subtrochanteric fracture when bearing weight while climbing stairs, leading to further surgical treatment.
- The report emphasizes that factors such as the drill hole's location, the type of insertion (like tantalum rods), and weight-bearing guidelines can influence fracture risk post-surgery, aiming to guide orthopedic surgeons in managing early ONFH.
Article Abstract
Background: Osteonecrosis of the femoral head (ONFH) is a common clinical disease. Improper treatment can lead to femoral head collapse and hip joint dysfunction. Core decompression is particularly important for early ONFH. However, subtrochanteric fractures after core decompression cause some clinical problems.
Case Presentation: This article describes a 34-year-old male patient with early ONFH. After core decompression, he suffered a subtrochanteric fracture of the femur while bearing weight on the affected limb when going up stairs. He was subsequently treated with open reduction and intramedullary nail fixation.
Conclusion: When core decompression is used to treat ONFH, the location or size of the drill hole, whether a tantalum rod or bone is inserted, and partial weight-bearing of the affected limb may directly affect whether a fracture occurs after surgery. It is hoped that this case report can provide a reference for clinical orthopedic surgeons in the treatment of early ONFH.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134917 | PMC |
| http://dx.doi.org/10.1186/s12891-024-07536-5 | DOI Listing |
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