Medial femoral condyle fracture as a complication of antegrade intramedullary nailing.

Détails

ID Serval
serval:BIB_474316491901
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Medial femoral condyle fracture as a complication of antegrade intramedullary nailing.
Périodique
Archives of Orthopaedic and Trauma Surgery
Auteur(s)
Neumayer F., Löcherbach C., McManus J., Chevalley F.
ISSN
1434-3916 (Electronic)
ISSN-L
0936-8051
Statut éditorial
Publié
Date de publication
2013
Peer-reviewed
Oui
Volume
133
Numéro
9
Pages
1273-1279
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish. PDF type: Case report
Résumé
A 49-year-old man suffered a closed oblique fracture of the middle third of his left femur. Closed reduction and internal fixation by intramedullary (IM) nailing were performed. Per-operative fluoroscopic imaging and initial postoperative X-rays were judged normal and the patient followed the usual rehabilitation protocol. At 3-month follow-up the patient still demonstrated poor knee function and pain. A plain X-ray and a CT scan of the left knee revealed a displaced fracture of the medial femoral condyle. Analysis of the postoperative imaging suggests that the fracture occurred during the insertion of the IM nail. The nail possibly hit the Steinmann traction pin in the distal femur causing the medial condyle fracture. The patient was reoperated; open reduction and internal plate and screw fixation were performed with satisfactory clinical progress postoperatively. The description and illustration of this case is intended to make trauma surgeons aware of this rare but serious complication of IM femoral nailing.
Pubmed
Web of science
Création de la notice
22/09/2013 21:27
Dernière modification de la notice
03/03/2018 16:49
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