Official Publication of the National Center for Trauma Research Trauma Monthly 2251-7464 23 1 2018 01 01 Unilateral Open Subtrochanteric Fracture in a Very Low Birth Weight Newborn: A Case Report 100127 10.5812/traumamon.59367 EN Amir Sobhani Eraghi Nima Hosseinzadeh Journal Article Background: This case report presents an open subtrochanteric fracture in a premature low birth weight newborn, which was treated with intramedullary Kirschner wire. Methods: A neonate with left open subtrochanteric fracture was referred to the orthopedics department of the current study. Pavlik harness was applied yet treatment failed; therefore, an intramedullary Kirschner wire was applied. Results: The pin wasmaintained for 6 weeks and fracture healing was confirmed by a radiograph. Follow up after 18months showed complete healing, no limb length discrepancy, and normal gait. Conclusions: In some patients, traditional methods, such as traction, cast, and Pavlik harness cannot be used. Intramedullary Kirschner wire insertion could be an alternative treatment option. https://www.traumamon.com/article_100127_a017d7d673fb1d4a346dbcbe3b10bdb7.pdf