Clinical Image

Untreated Periprosthetic Hip Fracture - A Consequence of War

Yasser Farid1* and Tamás S Illes1,2,3
1Department of Orthopedics & Traumatology, Brugmann University Hospital, Brussels, Belgium
2Department of Orthopaedic Surgery and Traumatology, Odense University Hospital and Institute of Clinical Research, University of Southern Denmark, Denmark
3National Medical Academy, Paris, France


*Corresponding author: Yasser Farid, Department of Orthopedics & Traumatology, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium


Published: 01 Nov, 2018
Cite this article as: Farid Y, Illes TS. Untreated Periprosthetic Hip Fracture - A Consequence of War. Clin Surg. 2018; 3: 2182.

Clinical Image

A 79-year-old female refugee from Syria presented to our emergency department with a long history of right hip pain causing walking inability. At age 58, a cemented total hip prosthesis had been implanted due to primary coxarthrosis. In 2012, after a fall, a periprosthetic fracture occurred, which was stabilized using a plate and screws, supplemented with cerclages. She became asymptomatic. Because of the civil war, she was forced to flee Syria with her family. In 2015, she fell again and immediately became incapable of walking. Her family toted her across countries. Being a migrant, she did not have access to adequate medical care. Recent radiographs (AP & lateral) revealed luxation of the prosthesis, with the femur fracture healed with significant angulation (54º) and a loosed acetabulum component (arrows). Unfortunately, the general status of the patient did not allowsurgical intervention. Health care of refugees is a serious and unresolved problem.


Figure

Another alt text

Figure