MODIFIED LAUTENBACH TECHNIQUE AND EXTERNAL FIXATION AS A TREATMENT FOR INFECTED NON-UNION OF THE SUBTROCHANTER FEMUR: A CASE REPORT

Infected non-union is still a challenging orthopedic case to treat. Up until present day, there is no any established protocol to treat infected non-union of femur. Infection at subtrochanter femur specifically poses extra challenge as aforementioned location is affected by great tension and compres...

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Main Authors: Mouli Edward, Teddy Heri Wardhana, Erfan Nasrullah
Format: Article
Language:English
Published: Universitas Airlangga 2019-12-01
Series:Journal Orthopaedi and Traumatology Surabaya
Subjects:
Online Access:https://e-journal.unair.ac.id/JOINTS/article/view/16578
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author Mouli Edward
Teddy Heri Wardhana
Erfan Nasrullah
author_facet Mouli Edward
Teddy Heri Wardhana
Erfan Nasrullah
author_sort Mouli Edward
collection DOAJ
description Infected non-union is still a challenging orthopedic case to treat. Up until present day, there is no any established protocol to treat infected non-union of femur. Infection at subtrochanter femur specifically poses extra challenge as aforementioned location is affected by great tension and compression force. In this report, we present a 20-yo woman with infected subtrochanter femur following open reduction internal fixation (ORIF)with angle blade plate (ABP) 95o. One stage surgery was performed involving implant removal, debridement, definite external fixation, and antibiotic delivery using modified Lautenbach technique. Four years after trauma, the patient was capable of independent mobilization without aid. No infection recurrence was found, and Haris Hip Score was 91 (excellent). Based on the result of this case, definite external fixation and modified Lautenbach technique in one stage surgery can be a viable option in treating infected non-union of subtrochanter femur.
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institution Kabale University
issn 2722-712X
2460-8742
language English
publishDate 2019-12-01
publisher Universitas Airlangga
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series Journal Orthopaedi and Traumatology Surabaya
spelling doaj-art-0c55159d632846fe90bb228fe3f1ab0e2025-02-12T07:29:07ZengUniversitas AirlanggaJournal Orthopaedi and Traumatology Surabaya2722-712X2460-87422019-12-0181253410.20473/joints.v8i1.2019.25-3413528MODIFIED LAUTENBACH TECHNIQUE AND EXTERNAL FIXATION AS A TREATMENT FOR INFECTED NON-UNION OF THE SUBTROCHANTER FEMUR: A CASE REPORTMouli Edward0Teddy Heri Wardhana1Erfan Nasrullah2Staff of Orthopaedic and Traumatology Department, Faculty of Medicine, Universitas Airlangga/Dr Soetomo General Hospital, SurabayaStaff of Orthopaedic and Traumatology Department, Faculty of Medicine, Universitas Airlangga/Dr Soetomo General Hospital, SurabayaResident of Orthopaedic and Traumatology Department, Faculty of Medicine, Universitas Airlangga/Dr Soetomo General Hospital, SurabayaInfected non-union is still a challenging orthopedic case to treat. Up until present day, there is no any established protocol to treat infected non-union of femur. Infection at subtrochanter femur specifically poses extra challenge as aforementioned location is affected by great tension and compression force. In this report, we present a 20-yo woman with infected subtrochanter femur following open reduction internal fixation (ORIF)with angle blade plate (ABP) 95o. One stage surgery was performed involving implant removal, debridement, definite external fixation, and antibiotic delivery using modified Lautenbach technique. Four years after trauma, the patient was capable of independent mobilization without aid. No infection recurrence was found, and Haris Hip Score was 91 (excellent). Based on the result of this case, definite external fixation and modified Lautenbach technique in one stage surgery can be a viable option in treating infected non-union of subtrochanter femur.https://e-journal.unair.ac.id/JOINTS/article/view/16578infected non-unionsubtrochanterone-stage surgeryexternal fixationlautenbach technique
spellingShingle Mouli Edward
Teddy Heri Wardhana
Erfan Nasrullah
MODIFIED LAUTENBACH TECHNIQUE AND EXTERNAL FIXATION AS A TREATMENT FOR INFECTED NON-UNION OF THE SUBTROCHANTER FEMUR: A CASE REPORT
Journal Orthopaedi and Traumatology Surabaya
infected non-union
subtrochanter
one-stage surgery
external fixation
lautenbach technique
title MODIFIED LAUTENBACH TECHNIQUE AND EXTERNAL FIXATION AS A TREATMENT FOR INFECTED NON-UNION OF THE SUBTROCHANTER FEMUR: A CASE REPORT
title_full MODIFIED LAUTENBACH TECHNIQUE AND EXTERNAL FIXATION AS A TREATMENT FOR INFECTED NON-UNION OF THE SUBTROCHANTER FEMUR: A CASE REPORT
title_fullStr MODIFIED LAUTENBACH TECHNIQUE AND EXTERNAL FIXATION AS A TREATMENT FOR INFECTED NON-UNION OF THE SUBTROCHANTER FEMUR: A CASE REPORT
title_full_unstemmed MODIFIED LAUTENBACH TECHNIQUE AND EXTERNAL FIXATION AS A TREATMENT FOR INFECTED NON-UNION OF THE SUBTROCHANTER FEMUR: A CASE REPORT
title_short MODIFIED LAUTENBACH TECHNIQUE AND EXTERNAL FIXATION AS A TREATMENT FOR INFECTED NON-UNION OF THE SUBTROCHANTER FEMUR: A CASE REPORT
title_sort modified lautenbach technique and external fixation as a treatment for infected non union of the subtrochanter femur a case report
topic infected non-union
subtrochanter
one-stage surgery
external fixation
lautenbach technique
url https://e-journal.unair.ac.id/JOINTS/article/view/16578
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AT teddyheriwardhana modifiedlautenbachtechniqueandexternalfixationasatreatmentforinfectednonunionofthesubtrochanterfemuracasereport
AT erfannasrullah modifiedlautenbachtechniqueandexternalfixationasatreatmentforinfectednonunionofthesubtrochanterfemuracasereport