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Early surgical treatment of closed reduction and internal fixation for a 30-day old intertrochanteric fracture with hemiplegia after acute stroke: A case report

Currently, there are no clear guidelines to determine whether and when to perform surgical hip repair in patients with acute stroke and hip fracture. PATIENT CONCERNS: In this case report, we report a case of 75-year-old woman admitted with left hip pain and limited mobility for 1 month. DIAGNOSES:...

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Autores principales: Zhang, Zeng-Li, Li, Xu-Song, Zhao, Wei-Qiang, Huang, Jie-Feng, Zhu, Ya-Hong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289562/
https://www.ncbi.nlm.nih.gov/pubmed/37352071
http://dx.doi.org/10.1097/MD.0000000000034098
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author Zhang, Zeng-Li
Li, Xu-Song
Zhao, Wei-Qiang
Huang, Jie-Feng
Zhu, Ya-Hong
author_facet Zhang, Zeng-Li
Li, Xu-Song
Zhao, Wei-Qiang
Huang, Jie-Feng
Zhu, Ya-Hong
author_sort Zhang, Zeng-Li
collection PubMed
description Currently, there are no clear guidelines to determine whether and when to perform surgical hip repair in patients with acute stroke and hip fracture. PATIENT CONCERNS: In this case report, we report a case of 75-year-old woman admitted with left hip pain and limited mobility for 1 month. DIAGNOSES: Patient had a history of acute cerebral infarction 42 days ago, and diagnosed with a left intertrochanteric fracture at another hospital 30 days ago. INTERVENTION: Patient was treated with closed reduction and internal fixation with proximal femoral nail anti-rotation. OUTCOMES: At 2-year follow-up, the patient’s basic function was restored. The fracture healed well, and the Harris hip score was 75. LESSONS: Without consistent guidelines, individualized treatment strategies including surgical methods and timing of surgery should be made to weigh the risks and benefits for patients with acute stroke and intertrochanteric fractures.
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spelling pubmed-102895622023-06-24 Early surgical treatment of closed reduction and internal fixation for a 30-day old intertrochanteric fracture with hemiplegia after acute stroke: A case report Zhang, Zeng-Li Li, Xu-Song Zhao, Wei-Qiang Huang, Jie-Feng Zhu, Ya-Hong Medicine (Baltimore) 7100 Currently, there are no clear guidelines to determine whether and when to perform surgical hip repair in patients with acute stroke and hip fracture. PATIENT CONCERNS: In this case report, we report a case of 75-year-old woman admitted with left hip pain and limited mobility for 1 month. DIAGNOSES: Patient had a history of acute cerebral infarction 42 days ago, and diagnosed with a left intertrochanteric fracture at another hospital 30 days ago. INTERVENTION: Patient was treated with closed reduction and internal fixation with proximal femoral nail anti-rotation. OUTCOMES: At 2-year follow-up, the patient’s basic function was restored. The fracture healed well, and the Harris hip score was 75. LESSONS: Without consistent guidelines, individualized treatment strategies including surgical methods and timing of surgery should be made to weigh the risks and benefits for patients with acute stroke and intertrochanteric fractures. Lippincott Williams & Wilkins 2023-06-23 /pmc/articles/PMC10289562/ /pubmed/37352071 http://dx.doi.org/10.1097/MD.0000000000034098 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 7100
Zhang, Zeng-Li
Li, Xu-Song
Zhao, Wei-Qiang
Huang, Jie-Feng
Zhu, Ya-Hong
Early surgical treatment of closed reduction and internal fixation for a 30-day old intertrochanteric fracture with hemiplegia after acute stroke: A case report
title Early surgical treatment of closed reduction and internal fixation for a 30-day old intertrochanteric fracture with hemiplegia after acute stroke: A case report
title_full Early surgical treatment of closed reduction and internal fixation for a 30-day old intertrochanteric fracture with hemiplegia after acute stroke: A case report
title_fullStr Early surgical treatment of closed reduction and internal fixation for a 30-day old intertrochanteric fracture with hemiplegia after acute stroke: A case report
title_full_unstemmed Early surgical treatment of closed reduction and internal fixation for a 30-day old intertrochanteric fracture with hemiplegia after acute stroke: A case report
title_short Early surgical treatment of closed reduction and internal fixation for a 30-day old intertrochanteric fracture with hemiplegia after acute stroke: A case report
title_sort early surgical treatment of closed reduction and internal fixation for a 30-day old intertrochanteric fracture with hemiplegia after acute stroke: a case report
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289562/
https://www.ncbi.nlm.nih.gov/pubmed/37352071
http://dx.doi.org/10.1097/MD.0000000000034098
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