J Korean Fract Soc.  2010 Apr;23(2):227-231. 10.12671/jkfs.2010.23.2.227.

Bursting Fracture of the Proximal Femur during Insertion of Unreamed Femoral Nail for Femur Shaft Fracture: A Case Report

Affiliations
  • 1Department of Orthopaedic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. jjkim2@amc.seoul.kr
  • 2Department of Orthopaedic Surgery, Inje University, Haeundae Paik Hospital, Busan, Korea.
  • 3Samchunpo Seoul Hospital, Samchunpo, Korea.

Abstract

When treating femur shaft fracture in adults, undreamed nail can be an option in order to avoid systemic complications. To appropriately insert unreamed intramedullary nail, an accurate entry point and sufficient reaming of the entry portal is essential. The intramedullary canal of the proximal femur must be reamed over than the diameter of the proximal end of the nail. If the proximal reaming is not sufficient, complications such as bursting fracture of proximal femur can occur. We present two cases of bursting fracture of proximal femur following insertion of undreamed intramedullary nail as well as a literature review.

Keyword

Femur; Femurs shaft fracture; UFN; Complication; Intraoperative fracture

MeSH Terms

Adult
Femur
Humans
Nails
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