Total Hip Arthroplasty for Femoral Neck Fracture in the Setting of Challenging Extraction of an Intramedullary Femoral Nail: A Case Report.

Autor:	Behery OA; Department of Orthopedic Surgery, NYU Langone Health, New York, United States., Kouk S; Department of Orthopedic Surgery, NYU Langone Health, New York, United States., Meftah M; Department of Orthopedic Surgery, NYU Langone Health, New York, United States., Tejwani NC; Department of Orthopedic Surgery, NYU Langone Health, New York, United States.
Jazyk:	angličtina
Zdroj:	Journal of orthopaedic case reports [J Orthop Case Rep] 2020 Dec; Vol. 10 (9), pp. 85-89.
DOI:	10.13107/jocr.2020.v10.i09.1914
Abstrakt:	Introduction: Performing total hip arthroplasty (THA) for femoral neck fracture in the setting of a pre-existing intramedullary nail can be technically challenging, particularly if nail extraction is not feasible. Case Report: A 76-year-old male presented with a with a displaced femoral neck fracture in the setting of a previously placed antegrade intramedullary nail with a healed femoral shaft fracture. After failed nail extraction, a novel technique was used to remove the proximal portion of the nail to allow for hybrid THA with implantation of a cemented femoral stem. Conclusion: This is the first reported surgical technique of using a cortical window technique for partial intramedullary nail resection and cemented stem implantation in the setting of challenging intramedullary femoral nail extraction. Competing Interests: Conflict of Interest: Nil (Copyright: © Indian Orthopaedic Research Group.)
Databáze:	MEDLINE
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