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CASE REPORT
Year : 2015  |  Volume : 35  |  Issue : 6  |  Page : 258-260

Prophylactic Fixation of an Incomplete Subtrochanteric Femur Fracture Due to a Low-velocity Gunshot Injury: A Unique Case


1 Department of Orthopaedic Surgery, Tri-Service General Hospital, National Defense Medical Center, Taiwan, Republic of China
2 Department of Orthopaedic Surgery, Taipei Medical University Hospital, Taipei, Taiwan, Republic of China
3 Department of Orthopaedic Surgery, Tri-Service General Hospital, National Defense Medical Center, Taiwan, Taiwan, Republic of China

Correspondence Address:
Chih-Chien Wang
Department of Orthopaedic Surgery, Tri-Service General Hospital, 325 Cheng-Kung Road Section 2, Taipei 114
Taiwan, Republic of China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1011-4564.173010

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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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