ArticleJournal of orthopaedic case reports2026
Management of Subtrochanteric Femur Fracture with Pre-existing Grade IV Psoriatic Hip Arthritis Using Primary Total Hip Arthroplasty with a Long Distal-Loading Stem: A Case Report.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Subtrochanteric femur fractures associated with advanced hip arthritis present a complex surgical challenge, particularly in young patients with inflammatory arthropathies. Case Report: We report a case of a 38-year-old male with bilateral psoriatic hip arthritis (Ficat and Arlet grade IV) who sustained a right-sided subtrochanteric femur fracture following a slip and fall. Given the coexistence of severe hip arthritis, femoral head collapse, and fracture morphology, a single-stage total hip arthroplasty (THA) using a long distal-loading monoblock stem was performed. The procedure successfully addressed both the fracture and arthritic pathology, allowing stable fixation and early functional recovery. Conclusion: This case highlights the role of primary THA with a distal-loading stem as an effective treatment option in selected patients with subtrochanteric fractures and advanced inflammatory hip disease.
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