Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 7, 2022; 10(1): 283-288
Published online Jan 7, 2022. doi: 10.12998/wjcc.v10.i1.283
Complex proximal femoral fracture in a young patient followed up for 3 years: A case report
Zi-Yu Li, Wen-Dan Cheng, Lei Qi, Shui-Sheng Yu, Jue-Hua Jing
Zi-Yu Li, Wen-Dan Cheng, Shui-Sheng Yu, Jue-Hua Jing, Department of Orthopaedics, The Second Hospital of Anhui Medical University, Hefei 230601, Anhui Province, China
Lei Qi, Department of Orthopaedics, The Fourth Affiliated Hospital of Nanjing Medical University, Nanjing 210000, Jiangsu Province, China
Author contributions: Li ZY and Cheng WD contributed equally to this study; Li ZY was the first assistant during the operation; Li ZY and Cheng WD analyzed the data and wrote the manuscript. Qi L and Yu SS made significant contributions to data collection and the literature search; Jing JH was the surgeon during the operation and approved the final version of the manuscript; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jue-Hua Jing, MD, Chief Doctor, Professor, Department of Orthopaedics, The Second Hospital of Anhui Medical University, No. 678 Furong Road, Hefei 230601, Anhui Province, China. jjhhu@sina.com
Received: April 11, 2021
Peer-review started: April 11, 2021
First decision: October 16, 2021
Revised: November 16, 2021
Accepted: November 29, 2021
Article in press: November 29, 2021
Published online: January 7, 2022
Processing time: 262 Days and 21.7 Hours
Abstract
BACKGROUND

Ipsilateral femoral neck and intertrochanteric fractures in young patients are extremely rare, and there is no reference for fracture classification and treatment options.

CASE SUMMARY

We report a 27-year-old male patient who sustained ipsilateral femoral neck and intertrochanteric fractures and was treated with a proximal femoral locking compression plate (PFLCP). The literature on these fractures was also reviewed. At the last follow-up three years after surgery, the patient had no obvious pain in the hip, and the range of motion in the hip joint was slightly limited, but met the normal life and work needs. There were no complications such as necrosis of the femoral head.

CONCLUSION

The PFLCP can be used to treat these complex proximal femoral fractures, and selection should be based on the patient's specific fractures.

Keywords: Young patients, Complex proximal femoral fracture, Reduction, Locking compression plate, Case report

Core Tip: Ipsilateral femoral neck and intertrochanteric fractures in young patients are extremely rare. We report a 27-year-old patient who sustained ipsilateral femoral neck and intertrochanteric fractures and was treated with a proximal femoral locking compression plate. At the last follow-up three years after surgery, satisfactory outcomes were achieved. There were no complications such as necrosis of the femoral head.