Case study

Use of genex in the treatment of proximal femur fracture

Courtesy of Mr Aamer Nissar and Mr Shiva Gopal Consultant Orthopaedic Surgeons,
Hull Royal Infirmary & Castle Hill Hospitals, UK.

Clinical particulars

86-year-old male sustained a comminuted extracapsular fracture of left proximal femur following a fall. This was nailed, however, subsequently at 4 months the screw backed out and patient complained of prominent metalwork and pain.

Treatment

CT suggested partial union. Following MDT discussion, revision of the fixation was planned. Nail was removed and examination (EUA) suggested the fracture site was still mobile. Bone grafts were harvested using an RIA (Synthes®) reamer system and mixed with genex paste. The graft was then implanted at the fracture site, and the fracture was plated (DCS plate 95°) with a combination of locking and non-locking screws. Patient was instructed to be touch weight bearing for 6 weeks.

Outcome

At 12 months’ follow-up the fracture had healed with complete absorption of genex. Patient had a good range of hip motion and was able to walk independently and manage stairs.

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Presentation Post-Operative
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4 Months - Screw backing out 4 Months
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1 Year Post Revision