Infective Failure of Internal Fixation for Intertrochanteric Femoral Neck Fracture Presenting as Hip Joint Subluxation: A Case Report

Rohit Rambani, Helen Ribee, Peter Bobak


Complications following operative treatment of intertrochanteric fracture have previously been reported in the literature. Spontaneous subluxation following operating treatment of inter-trochanteric fracture has not been reported. We report a rare case of sponateous subluxation of the hip following a deep infection of the hip. An 86 years old female presented with sudden onset pain and difficulty in mobilization three months following a dynamic hip screw fixation. At surgery a deep wound infection was found and a methicillin-resistant Staphylococcus aureus (MRSA) was cultured. After thorough debridement, girdlestone arthroplasty was done. The patient received specific intravenous antibiotics and after six weeks a total hip arthroplasty was done. In three years follow-up the patients presented with a fully functional hip without any signs of infection. Hip subluxation after a trochanteric fracture internal fixation is rare complication associated with high morbidity and mortality. Infection eradication holds a key for successful outcome in these cases.

J Med Cases. 2010;1(2):51-54


Infection; Neck of femur; DHS

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website:   editorial contact:
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.