방사선-How would you treat this unrecognized Intraoperative Periprosthetic Fracture?

<p><br></p><table style="width: 600px;" border="0" cellspacing="0" cellpadding="0" mousex="451" mousey="1116"> <tbody> <tr> <td style="text-align: center; border-collapse: collapse;" colspan="2"><span style="font-size: 18px;"><span style="color: rgb(0, 0, 0);"><span style="font-family: arial, helvetica neue, helvetica, sans-serif;">How would you treat this unrecognized Intraoperative Periprosthetic Fracture?</span></span></span><br> </td></tr> <tr> <td width="231" valign="top" style="text-align: center; border-collapse: collapse;"><a style="color: rgb(51, 102, 153); font-weight: normal; text-decoration: underline;" href="http://orthobullets.us2.list-manage2.com/track/click?u=27328c6b1f9a34c46b355bfe6&id=767868ae77&e=ae70f15cf3" target="_blank"><img width="230" height="804" style="margin: 0px; border: 0px currentColor; border-image: none; width: 230px; height: 804px; line-height: 100%; text-decoration: none; display: inline;" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2F3bb92da8-65bf-42cc-8f72-8e0814e11ee2.jpg"></a><br><a style="color: rgb(51, 102, 153); font-weight: normal; text-decoration: underline;" href="http://orthobullets.us2.list-manage.com/track/click?u=27328c6b1f9a34c46b355bfe6&id=275ebe3f76&e=ae70f15cf3" target="_blank">See Full Case</a></td> <td width="954" valign="top" style="border-collapse: collapse;" mousex="221" mousey="905"><span style="color: rgb(0, 0, 0);"><span style="font-size: 12pt;">A 65-year-old female presents with increased thigh pain with the start of ambulation on her operative leg 5 days after a cementless total hip arthroplasty (THA) for a femoral neck fracture. </span></span><br><br><span style="color: rgb(0, 0, 0); line-height: 19.2px; font-family: arial, helvetica, sans-serif; font-size: 16px; -webkit-text-size-adjust: auto;"><img width="42" height="42" style="border: 0px currentColor; border-image: none; width: 42px; height: 42px; line-height: 100%; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2Fpoll_icon.png">  </span><span style="color: rgb(0, 0, 0); font-size: 12pt;">How would you treat this intraoperative peri-prosthetic fracture?</span><br>  <table id="ctl00_content_Poll_rptPolls_ctl00_ctl01" border="0"> <tbody> <tr> <td style="border-collapse: collapse;"><a style="color: rgb(51, 102, 153); font-size: 12pt; font-weight: normal; text-decoration: underline;" href="http://orthobullets.us2.list-manage.com/track/click?u=27328c6b1f9a34c46b355bfe6&id=89a2bd8238&e=ae70f15cf3" target="_self"><img width="21" height="17" style="border: 0px currentColor; border-image: none; width: 21px; height: 17px; line-height: 16px; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2FCheck.jpg"></a></td> <td style="border-collapse: collapse;"><span style="color: rgb(0, 0, 0); font-size: 12pt;">Nonoperative - NWB x 6 weeks</span></td></tr> <tr> <td valign="top" style="border-collapse: collapse;"><a style="color: rgb(51, 102, 153); font-size: 12pt; font-weight: normal; text-decoration: underline;" href="http://orthobullets.us2.list-manage.com/track/click?u=27328c6b1f9a34c46b355bfe6&id=7eee5d3e80&e=ae70f15cf3" target="_self"><img width="21" height="17" style="border: 0px currentColor; border-image: none; width: 21px; height: 17px; line-height: 16px; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2FCheck.jpg"></a></td> <td style="border-collapse: collapse;"><span style="font-size: 12pt;"><span style="color: rgb(0, 0, 0);">Nonoperative - TTWB x 6 weeks</span></span></td></tr> <tr> <td valign="top" style="border-collapse: collapse;"><a style="color: rgb(51, 102, 153); font-size: 12pt; font-weight: normal; text-decoration: underline;" href="http://orthobullets.us2.list-manage.com/track/click?u=27328c6b1f9a34c46b355bfe6&id=f7f3e2a4ba&e=ae70f15cf3" target="_self"><img width="21" height="17" style="border: 0px currentColor; border-image: none; width: 21px; height: 17px; line-height: 16px; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2FCheck.jpg"></a></td> <td style="border-collapse: collapse;"><span style="font-size: 12pt;"><span style="color: rgb(0, 0, 0);">Nonoperative - WBAT x 6 weeks</span></span></td></tr> <tr> <td style="border-collapse: collapse;"><a style="color: rgb(51, 102, 153); font-size: 12pt; font-weight: normal; text-decoration: underline;" href="http://orthobullets.us2.list-manage1.com/track/click?u=27328c6b1f9a34c46b355bfe6&id=11bf75c783&e=ae70f15cf3" target="_self"><img width="21" height="17" style="border: 0px currentColor; border-image: none; width: 21px; height: 17px; line-height: 16px; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2FCheck.jpg"></a></td> <td style="border-collapse: collapse;"><span style="color: rgb(0, 0, 0); font-size: 12pt;">Operative Treatment</span></td></tr></tbody></table><br><span style="color: rgb(0, 0, 0); line-height: 19.2px; font-family: arial, helvetica, sans-serif; font-size: 16px;"><img width="42" height="42" style="border: 0px currentColor; border-image: none; width: 42px; height: 42px; line-height: 16px; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2Fpoll_icon.png">  </span><span style="color: rgb(0, 0, 0); font-size: 12pt;">If you choose operative treatment, what procedure would you do?</span><br>  <table id="ctl00_content_Poll_rptPolls_ctl00_ctl01" border="0"> <tbody> <tr> <td valign="top" style="border-collapse: collapse;"><a style="color: rgb(51, 102, 153); font-size: 12pt; font-weight: normal; text-decoration: underline;" href="http://orthobullets.us2.list-manage.com/track/click?u=27328c6b1f9a34c46b355bfe6&id=8420a84f41&e=ae70f15cf3" target="_self"><img width="21" height="17" style="border: 0px currentColor; border-image: none; width: 21px; height: 17px; line-height: 16px; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2FCheck.jpg"></a></td> <td style="border-collapse: collapse;"><span style="font-size: 12pt;"><span style="color: rgb(0, 0, 0);">Cerclage wires only</span></span></td></tr> <tr> <td valign="top" style="border-collapse: collapse;"><a style="color: rgb(51, 102, 153); font-size: 12pt; font-weight: normal; text-decoration: underline;" href="http://orthobullets.us2.list-manage2.com/track/click?u=27328c6b1f9a34c46b355bfe6&id=5a9449a387&e=ae70f15cf3" target="_self"><img width="21" height="17" style="border: 0px currentColor; border-image: none; width: 21px; height: 17px; line-height: 16px; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2FCheck.jpg"></a></td> <td style="border-collapse: collapse;"><span style="font-size: 12pt;"><span style="color: rgb(0, 0, 0);">Plate fixation</span></span></td></tr> <tr> <td style="border-collapse: collapse;"><a style="color: rgb(51, 102, 153); font-size: 12pt; font-weight: normal; text-decoration: underline;" href="http://orthobullets.us2.list-manage1.com/track/click?u=27328c6b1f9a34c46b355bfe6&id=0d1b55b891&e=ae70f15cf3" target="_self"><img width="21" height="17" style="border: 0px currentColor; border-image: none; width: 21px; height: 17px; line-height: 16px; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2FCheck.jpg"></a></td> <td style="border-collapse: collapse;"><span style="color: rgb(0, 0, 0); font-size: 12pt;">Revision to long stem prosthesis</span></td></tr></tbody></table><br><span style="color: rgb(0, 0, 0); line-height: 19.2px; font-family: arial, helvetica, sans-serif; font-size: 16px;"><img width="42" height="42" style="border: 0px currentColor; border-image: none; width: 42px; height: 42px; line-height: 16px; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2Fpoll_icon.png">  </span><span style="color: rgb(0, 0, 0); font-size: 12pt;">Would you get a CT scan prior to deciding treatment?</span><br>  <table id="ctl00_content_Poll_rptPolls_ctl00_ctl01" border="0"> <tbody> <tr> <td style="border-collapse: collapse;"><a style="color: rgb(51, 102, 153); font-size: 12pt; font-weight: normal; text-decoration: underline;" href="http://orthobullets.us2.list-manage.com/track/click?u=27328c6b1f9a34c46b355bfe6&id=c781fad008&e=ae70f15cf3" target="_self"><img width="21" height="17" style="border: 0px currentColor; border-image: none; width: 21px; height: 17px; line-height: 16px; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2FCheck.jpg"></a></td> <td style="border-collapse: collapse;"><span style="color: rgb(0, 0, 0); font-size: 12pt;">Yes - need to know more about fracture</span></td></tr> <tr> <td valign="top" style="border-collapse: collapse;"><a style="color: rgb(51, 102, 153); font-size: 12pt; font-weight: normal; text-decoration: underline;" href="http://orthobullets.us2.list-manage.com/track/click?u=27328c6b1f9a34c46b355bfe6&id=8451724424&e=ae70f15cf3" target="_self"><img width="21" height="17" style="border: 0px currentColor; border-image: none; width: 21px; height: 17px; line-height: 16px; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2FCheck.jpg"></a></td> <td style="border-collapse: collapse;"><span style="color: rgb(0, 0, 0); font-size: 12pt;">No - radiographs are enough</span></td></tr> <tr> <td valign="top" style="border-collapse: collapse;"> </td> <td style="border-collapse: collapse;"> </td></tr></tbody></table><br><span style="color: rgb(0, 0, 0); line-height: 19.2px; font-family: arial, helvetica, sans-serif; font-size: 16px;"><img width="42" height="42" style="border: 0px currentColor; border-image: none; width: 42px; height: 42px; line-height: 16px; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2Fpoll_icon.png">  </span><span style="color: rgb(0, 0, 0); font-size: 12pt;">For the original THA for the femoral neck fracture, would you use a cemented or cementless femoral prosthesis?</span><br>  <table id="ctl00_content_Poll_rptPolls_ctl00_ctl01" border="0"> <tbody> <tr> <td style="border-collapse: collapse;"><a style="color: rgb(51, 102, 153); font-size: 12pt; font-weight: normal; text-decoration: underline;" href="http://orthobullets.us2.list-manage.com/track/click?u=27328c6b1f9a34c46b355bfe6&id=0fef1ac6a8&e=ae70f15cf3" target="_self"><img width="21" height="17" style="border: 0px currentColor; border-image: none; width: 21px; height: 17px; line-height: 16px; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2FCheck.jpg"></a></td> <td style="border-collapse: collapse;"><span style="color: rgb(0, 0, 0); font-size: 12pt;">Cemented femoral prosthesis</span></td></tr> <tr> <td valign="top" style="border-collapse: collapse;"><a style="color: rgb(51, 102, 153); font-size: 12pt; font-weight: normal; text-decoration: underline;" href="http://orthobullets.us2.list-manage2.com/track/click?u=27328c6b1f9a34c46b355bfe6&id=37ae134a79&e=ae70f15cf3" target="_self"><img width="21" height="17" style="border: 0px currentColor; border-image: none; width: 21px; height: 17px; line-height: 16px; text-decoration: none; display: inline;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=https%3A%2F%2Fgallery.mailchimp.com%2F27328c6b1f9a34c46b355bfe6%2Fimages%2FCheck.jpg"></a></td> <td style="border-collapse: collapse;"><span style="color: rgb(0, 0, 0); font-size: 12pt;">Cementless femoral prosthesis</span></td></tr> <tr> <td valign="top" style="border-collapse: collapse;"> </td> <td style="border-collapse: collapse;"> </td></tr></tbody></table></td></tr></tbody></table><p><br></p>