Description

      Li Zhuxian, 78 years old, Chinese woman, got admitted to the hospital with the complain of pain, swelling and restricted movement in the right lower limb for about 8 hours.

      The patient stated that she fall down from the bed carelessly in the morning, thereafter she was suffering from the pain, swelling, restricted movement also Dark coloration of skin on the affected site. It was not associated with nausea, vomiting, or abdominal pain. After the injury she got admitted to orthopedic hospital. A plain X-ray of right hip & knee joint was done.

      X-ray film shows a Periprosthetic fracture on the proximal part of right hip bone and a fracture in the distal part of the right hip bone. The swelling of the middle part of right greater brittleness is obvious which can touch the obvious sense of bone friction. The percussion pain and tenderness of the right knee joint are positive. Right knee joint movement is limited, movement of the ankle & toes were good.

      Physical examination shows that shortening of right lower limb & the limb was internally rotated, swelling in the middle part of right thigh, the obvious sense of bone friction can be felt. Percussion tenderness positive on right knee joint & obvious sense of bone loss and right knee joint movement is limited. All the peripheral pulses of lower limb were intact, motor and sensory activities were good.

Figures

Figure 1: After repair plate screw X-ray.

Figure 2: Plain X-ray right hip joint showing fracture of proximal end of femur.

Figure 3: Preoperative period of screw setting.