Proximal femur shaft fracture in a case of ipsilateral resection arthroplasty of a tuberculous hip - A rare case report.

Femur shaft fracture is a common entity in orthopaedic practice, but how commonly does one encounter a subtrochanteric femur fracture in ipsilateral resection arthroplasty of a tuberculous hip after a decade of uneventful unassisted ambulation post resection procedure ? Till date only 2 patients have been reported worldwide with femur diaphyseal fracture with a history of ipsilateral resection arthroplasty all performed within a year of fracture occurrence. The intriguing factor of our case was the fact that post resection, patient was ambulatory for a decade and the fracture occurred at a subtrochanteric level. Thus we report a case of 35 year old male with subtrochanteric femur fracture due to minor trauma to right thigh, with a history of tuberculous arthritis of right hip for which surgical management in the form of resection arthroplasty was done 10 years back. After a thoughtful decision making and plan formulation we managed the patient with surface fixation with a pre contoured GT (greater trochanter) configuration plate after taking into consideration status of intact GT, osteoporosis, pseudoarthrosis level and post operative ambulation and rehabilitation.