Proximal Femur Fracture

JT

•  56yoMfalldownstairs• PMH:

•  Alcoholusedisorderwithhistoryofwithdrawals• PSH:

•  RecentTKArequiringacuteI&DforMRSAinfection

•  SH:•  Livesindependently•  4-6drinksperday•  ½packperweek

• PE:•  LLEshortenedandexternallyrotated•  NVI

Intraop-Lateral on fracture table

Immediate Post-op

• MadeTTWBLLE• Unevenful2-weekfollow-up• Cameto6weekfollow-upwithoutanycrutches

6-Week Follow-Up

• OfferedRevisionbutpatientrefused• MadestrictNWBbutreturnedtoclinicatsubsequentfollow-upswithoutcrutches

9Weeks 12Weeks 16Weeks

• Painwasincreasingandpatientnotinterestedinsurgery• OfferedTHA

•  2-weekspost-op,patientfellinbathroomandhadsignificantincreaseinpain

• Closedreduced• ReturnedtotheORonedaylateralforrevision

Unabletoobtainstableacetabularfixationsoexplantedandgrafted.

Reimplanted13monthsafterindexprocedure