Infective Failure of Internal Fixation for Intertrochanteric Femoral Neck Fracture Presenting as Hip Joint Subluxation: A Case Report
Bibliographic record
Abstract
Complications following operative treatment of intertrochanteric fracture have previously been reported in the literature. Spontaneous subluxation following operating treatment of inter-trochanteric fracture has not been reported. We report a rare case of sponateous subluxation of the hip following a deep infection of the hip. An 86 years old female presented with sudden onset pain and difficulty in mobilization three months following a dynamic hip screw fixation. At surgery a deep wound infection was found and a methicillin-resistant Staphylococcus aureus (MRSA) was cultured. After thorough debridement, girdlestone arthroplasty was done. The patient received specific intravenous antibiotics and after six weeks a total hip arthroplasty was done. In three years follow-up the patients presented with a fully functional hip without any signs of infection. Hip subluxation after a trochanteric fracture internal fixation is rare complication associated with high morbidity and mortality. Infection eradication holds a key for successful outcome in these cases. doi:10.4021/jmc31w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.003 | 0.002 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.006 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".