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Case Reports
. 2023 Jun 5;11(6):e7465.
doi: 10.1002/ccr3.7465. eCollection 2023 Jun.

Peri-implant proximal femur fracture in a poliomyelitis survivor: A surgical and medical challenge

Evangelos Sakellariou  1 , Athanasios Galanis  1 , Michail Vavourakis  1 , Eftychios Papagrigorakis  1 , Christos Vlachos  1 , Dimitrios Zachariou  1 , Elias Vasiliadis  1 , Spiros Pneumaticos  1
Affiliations
Case Reports

Peri-implant proximal femur fracture in a poliomyelitis survivor: A surgical and medical challenge

Evangelos Sakellariou et al. Clin Case Rep. .

Abstract

Key clinical message: The treatment of long bone fractures in post-polio survivors is indubitably an exacting task. Out of this complicated case presented in this paper, it can be deduced that it is attainable to repair a peri-implant subtrochanteric refracture or a complex non-union of the proximal femur with plate and screws with grafting.

Abstract: Post-polio survivors are prone to low-energy bone fractures. The management of such cases is exigent, as no literature data indicate the best surgical approach. This paper presents an intricate peri-implant proximal femoral fracture in a polio survivor treated in our institution and accentuates the various challenges we encountered.

Keywords: ORIF; Staphylococcus warnerii; peri‐implant femoral fracture; peri‐implant infection; poliomyelitis.

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Conflict of interest statement

The authors declare no competing interests.

Figures

FIGURE 1
FIGURE 1
Radiographic imaging and clinical presentation.
FIGURE 2
FIGURE 2
Dynamic hip screw (DHS) fixation of the initial subtrochanteric fracture (A) 1‐month post‐op and (B) 6‐month post‐op.
FIGURE 3
FIGURE 3
Proximal femoral peri‐implant fracture.
FIGURE 4
FIGURE 4
Postoperative radiographic imaging. (A) 1‐month post‐op, (B) 3‐month post‐op, and (C) 6‐month post‐op.
FIGURE 5
FIGURE 5
One year postoperatively.
See this image and copyright information in PMC

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