A Successful Treatment Of Femoral Neck Open Fracture In Middle-Aged Adult: A Case Report

Background: We report an atypical case of a middle-aged adult male who wounds with gunshot injury of the proximal femur with femoral neck loss. Case presentation: We present a 41-year-old male patient who wounds with a high-energy ballistic injury and had also nerve injury due to blastic effect. We present our treatment stages by protecting the patient from infection and by complying with the damage-controlled surgery principles. Conclusion: Those gunshots involving major joints, especially the one on the hip, could be lethal. The comminuted femoral neck and periarticular soft tissue injuries made open reduction with internal fixation difficult. The nature of the high-energy ballistic injury increases the possibility of infection that may have contributed directly to prosthesis failure. As a result, we have treated the patient with three-stage surgery. The patient underwent total hip arthroplasty, and the patient lived a functional, satisfying life after surgery.