Complications in a Young Adult Attributable to a Retained Pediatric Dynamic Hip Screw
Introduction. Orthopedic implants are used for many different conditions in the pediatric population. The literature on hardware removal is controversial and vague. Case Report. We highlight a young adult male who underwent a dynamic hip screw (DHS) due to a motor vehicle accident at 11 years old. H...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2019/6814375 |
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| _version_ | 1832552089033637888 |
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| author | Jonathan Bryant Leroy Butler Brandon Green Daniel Krenk |
| author_facet | Jonathan Bryant Leroy Butler Brandon Green Daniel Krenk |
| author_sort | Jonathan Bryant |
| collection | DOAJ |
| description | Introduction. Orthopedic implants are used for many different conditions in the pediatric population. The literature on hardware removal is controversial and vague. Case Report. We highlight a young adult male who underwent a dynamic hip screw (DHS) due to a motor vehicle accident at 11 years old. He healed the fracture and did well for years. He was lost to follow-up and the hardware was never removed. The patient presented to our facility with a periprosthetic subtrochanteric proximal femur fracture just distal to the retained hardware. The DHS was removed and the fracture fixed with an intramedullary nail. The patient healed the fracture and did well. Discussion. A literature review was performed to highlight the benefits and complications of hardware removal vs. retention. We hope to equip the orthopedic surgeon with the reasons for or against hardware removal to optimize treatment to each patient. In this instance, we recommend hardware removal due to the serious consequences of retained hardware in the adolescent/young adult population. |
| format | Article |
| id | doaj-art-887c8961199a4261886873d0cff89503 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-887c8961199a4261886873d0cff895032025-02-03T05:59:40ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/68143756814375Complications in a Young Adult Attributable to a Retained Pediatric Dynamic Hip ScrewJonathan Bryant0Leroy Butler1Brandon Green2Daniel Krenk3East Tennessee State University, 130 W Ravine Rd., Suite 9C, Kingsport, TN 37660, USAOrthoTexas, 5757 Warren Parkway, POB II, Suite 180, Frisco, TX 75034, USABallad Health, Johnson City Medical Center, 400 N. State of Franklin Road, Johnson City, TN 37604, USARegional Orthopedic Trauma Associates, 875 Larry Neil Way, Kingsport, TN 37660, USAIntroduction. Orthopedic implants are used for many different conditions in the pediatric population. The literature on hardware removal is controversial and vague. Case Report. We highlight a young adult male who underwent a dynamic hip screw (DHS) due to a motor vehicle accident at 11 years old. He healed the fracture and did well for years. He was lost to follow-up and the hardware was never removed. The patient presented to our facility with a periprosthetic subtrochanteric proximal femur fracture just distal to the retained hardware. The DHS was removed and the fracture fixed with an intramedullary nail. The patient healed the fracture and did well. Discussion. A literature review was performed to highlight the benefits and complications of hardware removal vs. retention. We hope to equip the orthopedic surgeon with the reasons for or against hardware removal to optimize treatment to each patient. In this instance, we recommend hardware removal due to the serious consequences of retained hardware in the adolescent/young adult population.http://dx.doi.org/10.1155/2019/6814375 |
| spellingShingle | Jonathan Bryant Leroy Butler Brandon Green Daniel Krenk Complications in a Young Adult Attributable to a Retained Pediatric Dynamic Hip Screw Case Reports in Orthopedics |
| title | Complications in a Young Adult Attributable to a Retained Pediatric Dynamic Hip Screw |
| title_full | Complications in a Young Adult Attributable to a Retained Pediatric Dynamic Hip Screw |
| title_fullStr | Complications in a Young Adult Attributable to a Retained Pediatric Dynamic Hip Screw |
| title_full_unstemmed | Complications in a Young Adult Attributable to a Retained Pediatric Dynamic Hip Screw |
| title_short | Complications in a Young Adult Attributable to a Retained Pediatric Dynamic Hip Screw |
| title_sort | complications in a young adult attributable to a retained pediatric dynamic hip screw |
| url | http://dx.doi.org/10.1155/2019/6814375 |
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