Total Hip Arthroplasty in Severe Osteoporosis - Technical Tips to Avert Complications Prophylactic Locked Plating Along With Total Hip Arthroplasty for Severe Osteoporosis with Intramedullary Nail In SituDeepak Gautam* and Rajesh Malhotra
Department of Orthopedics, All India Institute of Medical Sciences (AIIMS), New Delhi, India
- *Corresponding Author:
- Deepak Gautam
Department of Orthopedics ,Teaching Block
All India institute of Medical Sciences (AIIMS)
New Delhi, India
Tel: +919868397112, +91 11 26593589
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E-mail: [email protected]o.com
Received date: February 25, 2017; Accepted date: March 04, 2017; Published date: March 10, 2017
Citation: Gautam D, Malhotra R (2017) Total Hip Arthroplasty in Severe Osteoporosis - Technical Tips to Avert Complications Prophylactic Locked Plating Along With Total Hip Arthroplasty for Severe Osteoporosis with Intramedullary Nail In Situ. J Osteopor Phys Act 5:192. doi:10.4172/2329-9509.1000192
Copyright: © 2017 Saul D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Patients with osteoporosis requiring orthopedic procedures have more adverse outcomes. We present a case of 72 years old severely osteoporotic female with one-year-old neglected fracture neck of femur. She also had an intramedullary nail in situ done for fracture lower end of ipsilateral femur 20 years back. At the time of presentation the lower end of nail was penetrating the anterior femoral cortex. The femur was fixed preemptively with distal femoral locking plate followed by cemented total hip arthroplasty. We also discuss the surgical principles along with the tips and pearls adopted in this case.