An Ipsilateral Subtrochanteric Femoral Neck Fracture In The Presence Of An Established Subcapital Non-Union

JR Manara, IC Smith

In this case we describe a 56 year old lady who suffered an ipsilateral non-union of a subcapital femoral neck fracture and an acute subtrochanetric fracture. She had been listed for a semi-elective Total Hip Replacement after a delayed presentationfollowing the initial subcapital fracture. She subsequently fell again sustaining a subtrochanteric fracture of the same hip prior to her planned operation. She was admitted for a complex arthroplasty, where a long stemmed revision femoral component was used. This is the first time an extracapsular fracture has been described in the presence of an established non-union of the ipsilateral hip. In such cases we believe the patient should be treated in the same manner as a periprosthetic hip fracture where there is an unstable stem.