Early failure of spiral blade using with an unreamed femoral nail: a case report
Autor: | D.M Hahn, F Qureshi, J Gliatis |
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Rok vydání: | 1999 |
Předmět: |
Male
medicine.medical_specialty Femoral nail Bone Nails law.invention Intramedullary rod Femoral head Fracture Fixation Internal law medicine Humans Femur Treatment Failure Early failure General Environmental Science Femoral neck Aged Aged 80 and over business.industry Hip Fractures Internal Fixators Surgery Radiography medicine.anatomical_structure Lesser Trochanter Spiral blade General Earth and Planetary Sciences Accidental Falls Equipment Failure business |
Zdroj: | Injury. 30(3) |
ISSN: | 0020-1383 |
Popis: | An 86 year old man presented with subtrochanteric fracture (AO classi®cation type 31 A3) following a fall (Fig. 1). There was an undisplaced fracture of the lesser trochanter but no obvious involvement of the femoral neck. Operative stabilization was undertaken using the AO UFN with a spiral blade used for proximal locking. Post operative X-rays were satisfactory with no evidence of iatrogenic femoral neck fracture (Fig. 2). The patient mobilized by partial weight bearing for 6 weeks. Two months after surgery the patient developed increasing left hip pain and was unable to weight bear. There was no history of further trauma to the hip. Repeat X-rays revealed proximal migration of the spiral blade to the upper third of the femoral head and neck. There was also a fracture at the base of the femoral neck associated with breakage of spiral blade (Fig. 3). |
Databáze: | OpenAIRE |
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