Clin Orthop Surg.  2013 Sep;5(3):230-234. 10.4055/cios.2013.5.3.230.

Subtrochanteric Femoral Fracture during Trochanteric Nailing for the Treatment of Femoral Shaft Fracture

• Yun HH
• Oh CH
• Yi JW

• KMID: 1705550
• DOI: http://doi.org/10.4055/cios.2013.5.3.230

Abstract

We report on three cases of subtrochanteric femoral fractures during trochanteric intramedullary nailing for the treatment of femoral shaft fractures. Trochanteric intramedullary nails, which have a proximal lateral bend, are specifically designed for trochanteric insertion. When combined with the modified insertion technique, trochanteric intramedullary nails reduce iatrogenic fracture comminution and varus malalignment. We herein describe technical aspects of trochanteric intramedullary nailing for femoral shaft fractures to improve its application and prevent implant-derived complications.

Keyword

Femur; Fracture; Trochanteric nailing

MeSH Terms

Adult
Aged
Female
Femoral Fractures/radiography/*surgery
Fracture Fixation, Internal/*adverse effects/methods
Hip Fractures/*etiology/radiography
Humans
Iatrogenic Disease
Male
Middle Aged

Figure

• 

  Fig. 1 (A) Initial anteroposterior and lateral views show Arbeitsgemeinschaft für Osteosynthesefragen type B1 femoral shaft fracture. (B) Immediate postoperative anteroposterior view shows additional fracture in the lateral cortex of the proximal femur. (C) Postoperative 1 year anteroposterior view shows union in the femoral shaft and subtrochanteric area.

• 

  Fig. 2 (A) Initial anteroposterior and lateral views show Arbeitsgemeinschaft für Osteosynthesefragen type B1 femoral shaft fracture. (B) Immediate postoperative anteroposterior, lateral and oblique views show additional fracture in the lateral cortex of the proximal femur. (C) Postoperative 1 year radiographs show delayed union in the femoral shaft.

• 

  Fig. 3 (A) Initial anteroposterior and lateral views show Arbeitsgemeinschaft für Osteosynthesefragen type B1 femoral shaft fracture. (B) Immediate postoperative anteroposterior view shows additional fracture in the lateral cortex of the proximal femur. (C) Postoperative 1 year anteroposterior view shows union in the femoral shaft and subtrochanteric area.

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