Neck of Femur Fracture in a Patient with a Chronic Osteomyelitis of the Ipsilateral Foot

This case report describes a successful two-stage treatment in a 75-year-old male with a displaced neck of femur fracture, also suffering from an active chronic osteomyelitis of the ipsilateral calcaneus. In our case, a below-knee amputation was performed first, followed by total hip arthroplasty tw...

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Main Authors: Anne-Carolin Döring, Anne J. H. Vochteloo, Kees van Doorn, Rianne M. H. A. Huis in ’t Veld, Anil Peters
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2016/2108537
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author Anne-Carolin Döring
Anne J. H. Vochteloo
Kees van Doorn
Rianne M. H. A. Huis in ’t Veld
Anil Peters
author_facet Anne-Carolin Döring
Anne J. H. Vochteloo
Kees van Doorn
Rianne M. H. A. Huis in ’t Veld
Anil Peters
author_sort Anne-Carolin Döring
collection DOAJ
description This case report describes a successful two-stage treatment in a 75-year-old male with a displaced neck of femur fracture, also suffering from an active chronic osteomyelitis of the ipsilateral calcaneus. In our case, a below-knee amputation was performed first, followed by total hip arthroplasty two weeks later. At 15-month follow-up, full recovery of the prefracture level of activities of daily living without significant impairment was obtained. Only a few cases of total hip arthroplasty in amputees have been published, but the indication for surgery was mainly traumatic or advanced osteoarthritis. Treating patients with this type of comorbidities is challenging; therapeutic dilemmas can be major. The management in cases like these requires a thorough evaluation and a clear surgical and medical treatment plan, preferably conducted by a multidisciplinary orthogeriatric team.
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institution Kabale University
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publishDate 2016-01-01
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series Case Reports in Orthopedics
spelling doaj-art-9650c1fac578429fa865798b1e6b8b772025-02-03T01:33:20ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/21085372108537Neck of Femur Fracture in a Patient with a Chronic Osteomyelitis of the Ipsilateral FootAnne-Carolin Döring0Anne J. H. Vochteloo1Kees van Doorn2Rianne M. H. A. Huis in ’t Veld3Anil Peters4Centre for Orthopaedic Surgery, OCON, P.O. Box 546, 7550 AM Hengelo, NetherlandsCentre for Orthopaedic Surgery, OCON, P.O. Box 546, 7550 AM Hengelo, NetherlandsCentre for Orthopaedic Surgery, OCON, P.O. Box 546, 7550 AM Hengelo, NetherlandsCentre for Orthopaedic Surgery, OCON, P.O. Box 546, 7550 AM Hengelo, NetherlandsCentre for Orthopaedic Surgery, OCON, P.O. Box 546, 7550 AM Hengelo, NetherlandsThis case report describes a successful two-stage treatment in a 75-year-old male with a displaced neck of femur fracture, also suffering from an active chronic osteomyelitis of the ipsilateral calcaneus. In our case, a below-knee amputation was performed first, followed by total hip arthroplasty two weeks later. At 15-month follow-up, full recovery of the prefracture level of activities of daily living without significant impairment was obtained. Only a few cases of total hip arthroplasty in amputees have been published, but the indication for surgery was mainly traumatic or advanced osteoarthritis. Treating patients with this type of comorbidities is challenging; therapeutic dilemmas can be major. The management in cases like these requires a thorough evaluation and a clear surgical and medical treatment plan, preferably conducted by a multidisciplinary orthogeriatric team.http://dx.doi.org/10.1155/2016/2108537
spellingShingle Anne-Carolin Döring
Anne J. H. Vochteloo
Kees van Doorn
Rianne M. H. A. Huis in ’t Veld
Anil Peters
Neck of Femur Fracture in a Patient with a Chronic Osteomyelitis of the Ipsilateral Foot
Case Reports in Orthopedics
title Neck of Femur Fracture in a Patient with a Chronic Osteomyelitis of the Ipsilateral Foot
title_full Neck of Femur Fracture in a Patient with a Chronic Osteomyelitis of the Ipsilateral Foot
title_fullStr Neck of Femur Fracture in a Patient with a Chronic Osteomyelitis of the Ipsilateral Foot
title_full_unstemmed Neck of Femur Fracture in a Patient with a Chronic Osteomyelitis of the Ipsilateral Foot
title_short Neck of Femur Fracture in a Patient with a Chronic Osteomyelitis of the Ipsilateral Foot
title_sort neck of femur fracture in a patient with a chronic osteomyelitis of the ipsilateral foot
url http://dx.doi.org/10.1155/2016/2108537
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