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- W4324021330 abstract "A 78-year-old female patient sustained a left-sided proximal femoral fracture due to a fall. Since childhood the patient had suffered from ankylosis of unknown origin in the ipsilateral hip joint. The recommended intramedullary osteosynthesis could restore the original status quo before the fracture. It needs less time in the operating room (OR) and includes a lower risk for intraoperative complications than a hip joint endoprosthesis. Arthroplasty can lead to a significant improvement in mobility of the hip joint but requires more time in the OR for the surgical procedure and anesthesia time and includes a higher risk for intraoperative and postoperative complications. The antetorsion angle of 76° in this patient deviated extremely from the standard and made the intramedullary osteosynthesis for this type of fracture a challenge. Using improvised techniques led to a load-stable fracture treatment that ultimately led to a satisfactory result.Eine 78-jährige Patientin erlitt durch einen Sturz eine linksseitige proximale Femurfraktur. Seit der Kindheit bestand hier eine Ankylose im ipsilateralen Hüftgelenk, deren genaue Ursache unbekannt ist. Mit einer intramedullären Osteosynthese konnte der Zustand vor der Fraktur wiederhergestellt werden. Sie ist schneller und risikoärmer durchzuführen als eine Hüftgelenkendoprothese, die zu einer deutlichen Verbesserung der Beweglichkeit im Hüftgelenk führen kann, allerdings mehr Operations- und Narkosezeit in Anspruch nimmt und ein höheres Risiko intra- und postoperativer Komplikationen hat. Der bei dieser Patientin stark von der Norm abweichende Antetorsionswinkel von 76° machte die bei dieser Frakturform empfohlene intramedulläre Osteosynthese zu einer Herausforderung. Durch die Nutzung von Behelfstechniken konnte eine belastungsstabile Frakturversorgung durchgeführt werden, die letztendlich zu einem zufriedenstellenden Ergebnis führte." @default.
- W4324021330 created "2023-03-14" @default.
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- W4324021330 date "2023-03-13" @default.
- W4324021330 modified "2023-10-07" @default.
- W4324021330 title "[Proximal femoral fracture with bony ankylosis of the hip joint : Case report of difficult surgical treatment]." @default.
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- W4324021330 doi "https://doi.org/10.1007/s00113-023-01307-y" @default.
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