Q. InterTan nail got displaced from hip side and causing pain. Please help.

Answered by
Dr. Lokesh
and medically reviewed by iCliniq medical review team.
Published on Jun 22, 2018

Hello doctor,

My mother, aged 67, got her hip bone joint fractured. She got operated and InterTan nail got implanted. But nail part got displaced from the hip side and now touching hip bone causing pain. She is weak, having low bone density and suffering from other diseases as well (rheumatoid arthritis, glaucoma, hypothyroidism, hypertension, and asthma). What should be next course of action? Does new bone formation will occur in case if plaster will be done or does she needs joint replacement? Will plaster worsen her situation? How safe will joint replacement at her age and what will be implications in future? Which one will be beneficial for her considering her overall health status? Please suggest best way forward.

Dr. Lokesh

Orthopedics And Traumatology Spine Health Spine Surgery
#

Hi,

Welcome to icliniq.com.

She requires implant removal and joint replacement. This is a relatively safe procedure. Plaster cannot be applied over this.

For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist

Thank you doctor,

The hip joint replacement has been performed by the doctor here but we could see a fracture in X-ray report. We are clueless now what to be done next? Does she require bed rest now and to wait for the fracture to heal? Is that she can start with minor load bearing physiotherapy? Please advice the best possible next action for her. How to proceed with her treatment now? I am attaching her latest X-rays.

Dr. Lokesh

Orthopedics And Traumatology Spine Health Spine Surgery
#

Hi,

Welcome back to icliniq.com.

Surgery of hip replacement was fine. So, do not worry about the fracture. Mobilization will depend upon the surgeons choice. It varies with different surgeons. So, I would advise you to do weight bearing as the surgeon advices as he knows best clinically the state of the fracture as he has seen it. X-rays do not always give the exact picture. If it was me, I would advise her partial weight bearing mobilization with a walker.

For more information consult an orthopaedician and traumatologist online -->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist


Hello doctor,

Thank you a lot for answering my queries.

Few more things I would like to understand here. Is there any possibility for the fracture to heal if we go for bed rest for a month or if we start with partial load bearing? Is that we should wait for a month and let bone to adjust with current implant and strengthening of bone by calcium-rich diet so that further complications can be avoided? What will happen to fracture if it will not heal, will that remain like that forever? Will it create any discomfort or pain to my mother in long run or any future complications at any level (nerves damage) due to this fracture?

Dr. Lokesh

Orthopedics And Traumatology Spine Health Spine Surgery
#

Hi,

Welcome back to icliniq.com.

  1. Fracture healing does not matter much as the implant is giving stability as it is well fixed. So, partial weight bearing is fine.
  2. Calcium and Vitamin D should anyways be taken.
  3. As I said even if the fracture does not heal, the patient will walk normally.
  4. No complications of nerves or blood vessels by fracture.

For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist

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