{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T11:04:45Z","timestamp":1779793485522,"version":"3.53.1"},"reference-count":10,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>We present a rare, previously unreported case of total hip arthroplasty (THA) implantation in a patient with an ankylosed hip and pelvic-femoral synostosis who sustained a subtrochanteric fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 70-year-old woman had previously undergone right-sided infectious coxitis treatment, leading to hip ankylosis and pelvic-femoral synostosis. The patient had experienced no hip joint movement from her 20s for over 50\u2009years due to bone fusion at 2 levels. Walking was feasible with compensation, given the ankylosis at an \u201cideal position\u201d of 15\u00b0 of flexion, 10\u00b0 of abduction, and neutral rotation. The patient sustained a subtrochanteric fracture at the age of 70. Given the ankylosis and pelvic-femoral synostosis in the proximal femur fragment, an ideal solution was sought for the surgical management of this case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Synostosis was resected, total hip replacement was performed using revision arthroplasty components, solving both the problem of the ankylosed hip and that of the subtrochanteric fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The subtrochanteric fracture united, and sufficient motion was achieved after THA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>THA led to adequate fracture healing, relief of chronic lumbosacral pain and significant improvements in function, proving to be a promising solution for challenging complex hip cases, offering significant improvements in quality of life when combined with careful surgical technique, thorough planning, and attentive postoperative care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11207000251414947","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T10:01:06Z","timestamp":1770199266000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical management of a subtrochanteric fracture in a patient with 50-year longstanding intra-articular hip ankylosis and ischiofemoral synostosis: a case report"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6582-5435","authenticated-orcid":false,"given":"David","family":"Debn\u00e1r","sequence":"first","affiliation":[{"name":"2nd University Department of Orthopaedic and Trauma Surgery, University Hospital Bratislava Saints Cyril and Methodius Hospital, Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3220-7455","authenticated-orcid":false,"given":"Boris","family":"\u0160te\u0148o","sequence":"additional","affiliation":[{"name":"2nd University Department of Orthopaedic and Trauma Surgery, University Hospital Bratislava Saints Cyril and Methodius Hospital, Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milan","family":"Jan\u010diar","sequence":"additional","affiliation":[{"name":"2nd SMU Department of Trauma Surgery, F.D. Roosevelt General Hospital of Bansk\u00e1 Bystrica, Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1427-8516","authenticated-orcid":false,"given":"I\u013eja","family":"Chandoga","sequence":"additional","affiliation":[{"name":"2nd University Department of Orthopaedic and Trauma Surgery, University Hospital Bratislava Saints Cyril and Methodius Hospital, Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-016-2597-3"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-009-1390-3"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-19-3606-7_17"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2007.07.014"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2019.06.014"},{"key":"e_1_3_3_7_2","first-page":"278156","article-title":"Intertrochanteric fracture of the ankylosed hip joint treated by a gamma nail: a case report","volume":"2012","author":"Ishimaru D","year":"2012","unstructured":"Ishimaru D, Nozawa S, Maeda M, et al. Intertrochanteric fracture of the ankylosed hip joint treated by a gamma nail: a case report. Case Rep Orthop 2012; 2012: 278156.","journal-title":"Case Rep Orthop"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2023.108150"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-021-04268-8"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1704-y"},{"key":"e_1_3_3_11_2","first-page":"724","article-title":"Long-term outcomes of trabecular metal acetabular components in revision total hip arthroplasty","volume":"474","author":"Sporer SM","year":"2016","unstructured":"Sporer SM, Paprosky WG, O\u2019Connor D. Long-term outcomes of trabecular metal acetabular components in revision total hip arthroplasty. Clin Orthop Relat Res 2016; 474: 724\u2013732.","journal-title":"Clin Orthop Relat Res"}],"container-title":["HIP International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11207000251414947","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11207000251414947","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11207000251414947","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T10:43:53Z","timestamp":1779792233000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11207000251414947"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,4]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/11207000251414947"],"URL":"https:\/\/doi.org\/10.1177\/11207000251414947","relation":{},"ISSN":["1120-7000","1724-6067"],"issn-type":[{"value":"1120-7000","type":"print"},{"value":"1724-6067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,4]]}}}