Subtrochanteric femur fracture with pre-existing ipsilateral hip arthritis treated with long stem total hip arthroplasty: a case report

High velocity trauma involving fractures of lower limbs is one of the most common causes of morbidities in young and working population in developing countries. Amongst these injuries, subtrochanteric femur fractures are the one that cause significant impact on the lifestyle. The strong deforming forces across the fracture makes it difficult to achieve the reduction. The entire outcome depends on the adequate reduction and the stable fixation of the fracture. The longer duration required for the recovery causes significant morbidity and imparts financial burden on the families. Additionally, the presence of hip arthritis worsens the situation and limits the use of implants like intra-medullary nails. Arthroplasty has been defined in the literature for such situations. Arthroplasty remains one of the good options in such patients that address both fracture as well as arthritis providing a stable, mobile and painless hip. Here, we report a case of hip arthritis with subtrochanteric femur fracture treated with total hip arthroplasty.