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Abstract
A fracture of the shaft of the femur in adults is common after road traffic accidents.
Until recently it was not known that a fracture of the femoral neck can occur while
fixing the femoral shaft fracture with an intramedullary nail. We report three patients
in whom femoral neck fractures occurred during femoral nailing. Fractures of the femoral
neck were detected by routine postoperative radiographs of the hip joint. All the
three patients were treated non-operatively and the fractures healed without complication.
The cause of the femoral neck fracture seems to be forceful use of an awl in the wrong
direction or multiple entry points in the trochanteric region which weaken the femoral
neck; subsequent hammering of the nail completes the fracture.
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References
- Femoral neck fracture during closed intramedullary nailing.J Bone Joint Surg [Br]. 1988; 70B: 670
- Intramedullary locking nails in the management of femoral shaft fractures.J Bone Joint Surg [Br]. 1988; 70B: 206
- L'apport due verrouillage dans l'enclouage centro-medullaire des os longs.Rev Chir Orthop. 1978; 64: 635
- Practice of Intramedullary Nailing.(Translated by Rinne HH)in: Charles C Thomas, Springfield, IL1967
- Closed intramedullary nailing of femoral fractures: a report of five hundred and twenty cases.J Bone Joint Surg [Am]. 1984; 66A: 529
- Intramedullary nailing technique for closed fractures of the femur.in: 3rd Edn. Manual of Internal Fixation, Abridged AO-Manual. Springer-Verlag, 1992: 322-331
Article info
Publication history
Accepted:
March 17,
1995
Identification
Copyright
© 1995 Published by Elsevier Inc.
