Early failure of spiral blade using with an unreamed femoral nail: a case report

Autor: D.M Hahn, F Qureshi, J Gliatis
Rok vydání: 1999
Předmět:
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