case_images: PMC7232726_01
case_images: Anteroposterior (a) and lateral (b) radiographs of the femur showing the failure of osteosynthesis of the subtrochanteric fracture.
case_images: CRIOR2020-5630202.001.jpg
case_images: PMC7232726_01_CRIOR2020-5630202.001.jpg
case_images: fig1
case_images: Radiographic images evidenced a failure of osteosynthesis and pseudoarthrosis of the fracture (Figure 1).
case_images: Postoperative anteroposterior (a) and lateral (b) radiographs of the first revision surgery described.
case_images: CRIOR2020-5630202.002.jpg
case_images: PMC7232726_01_CRIOR2020-5630202.002.jpg
case_images: fig2
case_images: Both implants are covered with polymethyl methacrylate cement (PMMA) with local vancomycin (Figure 2).
case_images: Anteroposterior (a) and lateral (b) radiographs of the femur showing the failure of the first revision configuration.
case_images: CRIOR2020-5630202.003.jpg
case_images: PMC7232726_01_CRIOR2020-5630202.003.jpg
case_images: fig3
case_images: A new biopsy is performed with negative results (Figure 3).
case_images: Postoperative anteroposterior (a) and lateral (b) radiographs of the third revision surgery described.
case_images: CRIOR2020-5630202.004.jpg
case_images: PMC7232726_01_CRIOR2020-5630202.004.jpg
case_images: fig4
case_images: Also a reconstruction plate of 3.5 mm is used for the femoral neck fracture, applying compression on the focus (Figure 4).
case_images: Anteroposterior (a) and lateral (b) radiographs showing the pull out of the intramedullary nail of the femur.
case_images: CRIOR2020-5630202.005.jpg
case_images: PMC7232726_01_CRIOR2020-5630202.005.jpg
case_images: fig5
case_images: Biopsy cultures remain negative, with no reactivation of the previous infection (Figure 5).
case_images: Postoperative anteroposterior radiograph of the femur after the last revision surgery.
case_images: CRIOR2020-5630202.006.jpg
case_images: PMC7232726_01_CRIOR2020-5630202.006.jpg
case_images: fig6
case_images: T plate is used to gain lateral stability. The femoral neck fracture is consolidated, and no new surgeries were needed (Figure 6).
case_images: Two-year follow-up. Anteroposterior (a) and lateral (b) radiographs of the femur.
case_images: CRIOR2020-5630202.007.jpg
case_images: PMC7232726_01_CRIOR2020-5630202.007.jpg
case_images: fig7
case_images: New radiologic studies evidence signs of fracture consolidation of the subtrochanteric fracture (Figure 7).