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Management of neck of femur fracture in an adult with short stature and learning disability
  1. Viraj Gandbhir,
  2. Ashok Ramavath and
  3. Asim Rajpura
  1. Orthopaedics, Wrightington Wigan and Leigh NHS Foundation Trust, Wrightington, UK
  1. Correspondence to Viraj Gandbhir; drvirajg{at}


Neck of femur fractures (NOFF) are one of the major health concerns, with their incidence and the cost of care rising each year. Though a plethora of literature remains available on NOFF and its management, we found very little evidence for management of NOFF in patients with short stature and learning disability. Because of this unique combination of conditions in our patient, we had to deviate from the standard practice in terms of the implant choice. The usage of cemented Asian C stem AMT with a 36 mm metallic head which is normally reserved for total hip replacements, helped us obtain the desired hip joint stability. This was supplemented by early involvement of the learning disability physiotherapy team and eventually the patient had a satisfactory outcome at 8 months of follow-up. This rare amalgamation of NOFF, short stature and learning disability deserves more attention which our case report hopes to achieve.

  • hip implants
  • memory disorders (psychiatry)
  • physiotherapy (rehabilitation)
  • orthopaedic and trauma surgery
  • trauma

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  • Contributors VG - Writing of manuscript; performed ground work; collection of material; literature review. ARam - Idea behind the case report; guidance; review of manuscript. ARaj - Finalised the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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