Basil J. Alwattar, Kenneth A Egol

Department of Orthopedic Surgery, The New York University Hospital for Joint Diseases

Keywords: Arthrodesis/adverse effects; femoral fractures/etiology/surgery; fracture fixation, intramedullary; hip joint/surgery


The use of hip arthrodesis for the treatment of various arthritic conditions has dramatically decreased since the advent and success of hip arthroplasty. Subtrochanteric femur fracture below a long-standing hip arthrodesis is a rare complication that is difficult to treat. There are many factors to be considered in selecting among multiple options for the treatment of this fracture. We present three cases of subtrochanteric femur fractures that occurred long after hip arthrodesis, in which treatment was tailored to the individual patient- and fracture-based characteristics, often requiring multiple procedures.