Femoral Neck Fracture Fixation with a Medial Buttress Plate That Led to Impingement with Hip Flexion: A Case Report

Lucas S. Marchand,Michael R. Karns,T. Higgins,Stephen K. Aoki

Published 2019 in JBJS Case Connector

ABSTRACT

Case: A 47-year-old man with an isolated femoral neck fracture was treated with open reduction and internal fixation with a medial femoral neck buttress plate and a dynamic hip screw. Union was achieved without osteonecrosis of the femoral head. However, hip arthroscopy that was performed for persistent hip pain following the fracture union revealed an intra-articular impingement of the buttress plate and a substantial anterior acetabular chondral injury. Conclusions: To our knowledge, this is the first reported complication associated with the application of a medial buttress plate for a femoral neck fracture. This case report may help surgeons who employ this technique to avoid a similar complication.

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