Through-the-nail technique

Details

Serval ID
serval:BIB_26E515CBCC6D
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Through-the-nail technique
Journal
Acta Orthopaedica Belgica
Author(s)
Tsiridis  E., Narvani  A. A., Schizas  C.
ISSN
0001-6462 (Print)
Publication state
Published
Issued date
04/2005
Volume
71
Number
2
Pages
223-6
Notes
Case Reports
Journal Article --- Old month value: Apr
Abstract
Ipsilateral fractures of the neck of the femur and the femoral shaft are uncommon injuries and they present considerable challenge as the concurrent survival of the femoral head and union of the femoral shaft fracture is of paramount importance. We present a young male patient who sustained a Garden IV fracture of the neck of his right femur following a road traffic accident, with the fracture being adjacent to an ipsilateral intramedullary nail inserted 10 years previously for a midshaft femoral fracture; the nail was broken, with its proximal fragment lying behind the greater trochanter. The patient was operated on within 6 hours from the injury. An attempt was made to remove the nail but this was abandoned as warring iatrogenic bone loss was encountered, due to the proximity of the fracture to the nail entry point. Instead, three cancellous lag-screws were inserted to fix the fracture in a triangular fashion. Two screws placed posteriorly behind the nail, and one anterior screw through the nail.
Keywords
Adult Bicycling/injuries *Bone Nails Bone Screws Femoral Fractures/surgery Femoral Neck Fractures/physiopathology/radiography/*surgery Fracture Fixation, Intramedullary Humans Male
Pubmed
Create date
28/01/2008 12:27
Last modification date
20/08/2019 13:05
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