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Femoral neck fracture following intramedullary nailing with misplacement of an end cup: report of two cases.

Grala P, Mańkowski B, Kierzynka G - J Orthop Traumatol (2008)

Bottom Line: We report on two cases of femoral neck fractures attributed to misplacement of an end cup and subsequent invasive maneuvers in an effort to remove it.Authors associate it with many possible technical mistakes performed during the procedure, yet no complications after missed end cup placement were noted.We suggest that the fractures described below were a consequence of injury to the vascular supply and bone stock of the initially intact femoral neck.

View Article: PubMed Central - PubMed

Affiliation: Department of Trauma, Burns and Plastic Surgery, Karol Marcinkowski Medical University, Poznan, Poland, pawel.grala@aoalumni.org.

ABSTRACT
Femoral neck fracture is an unusual complication of intramedullary fixation of a broken femur. We report on two cases of femoral neck fractures attributed to misplacement of an end cup and subsequent invasive maneuvers in an effort to remove it. Iatrogenic fractures of the femoral neck during or after intramedullary nailing are reported in the medical literature. Authors associate it with many possible technical mistakes performed during the procedure, yet no complications after missed end cup placement were noted. We suggest that the fractures described below were a consequence of injury to the vascular supply and bone stock of the initially intact femoral neck.

No MeSH data available.


Related in: MedlinePlus

Case 2: misplacement of an end cup. Visible iatrogenic injury to the base of the femoral neck (black arrow). Medial cortex of the femoral neck apparently intact
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Fig6: Case 2: misplacement of an end cup. Visible iatrogenic injury to the base of the femoral neck (black arrow). Medial cortex of the femoral neck apparently intact

Mentions: A 68-year-old obese woman (BMI 30) was admitted after a fall at home causing fracture of the femoral shaft (Figs. 4, 5). On the same day she had reamed intramedullary fixation of the femur performed. The nail was short and thus advanced deeper. Except at the end stage, no technical difficulties were noticed. The end cup was placed inside the femoral neck and efforts to remove it with a vascular clamp failed. Immediate postoperative radiogram did not reveal FNF (Fig. 6).Fig. 4


Femoral neck fracture following intramedullary nailing with misplacement of an end cup: report of two cases.

Grala P, Mańkowski B, Kierzynka G - J Orthop Traumatol (2008)

Case 2: misplacement of an end cup. Visible iatrogenic injury to the base of the femoral neck (black arrow). Medial cortex of the femoral neck apparently intact
© Copyright Policy
Related In: Results  -  Collection

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getmorefigures.php?uid=PMC2657352&req=5

Fig6: Case 2: misplacement of an end cup. Visible iatrogenic injury to the base of the femoral neck (black arrow). Medial cortex of the femoral neck apparently intact
Mentions: A 68-year-old obese woman (BMI 30) was admitted after a fall at home causing fracture of the femoral shaft (Figs. 4, 5). On the same day she had reamed intramedullary fixation of the femur performed. The nail was short and thus advanced deeper. Except at the end stage, no technical difficulties were noticed. The end cup was placed inside the femoral neck and efforts to remove it with a vascular clamp failed. Immediate postoperative radiogram did not reveal FNF (Fig. 6).Fig. 4

Bottom Line: We report on two cases of femoral neck fractures attributed to misplacement of an end cup and subsequent invasive maneuvers in an effort to remove it.Authors associate it with many possible technical mistakes performed during the procedure, yet no complications after missed end cup placement were noted.We suggest that the fractures described below were a consequence of injury to the vascular supply and bone stock of the initially intact femoral neck.

View Article: PubMed Central - PubMed

Affiliation: Department of Trauma, Burns and Plastic Surgery, Karol Marcinkowski Medical University, Poznan, Poland, pawel.grala@aoalumni.org.

ABSTRACT
Femoral neck fracture is an unusual complication of intramedullary fixation of a broken femur. We report on two cases of femoral neck fractures attributed to misplacement of an end cup and subsequent invasive maneuvers in an effort to remove it. Iatrogenic fractures of the femoral neck during or after intramedullary nailing are reported in the medical literature. Authors associate it with many possible technical mistakes performed during the procedure, yet no complications after missed end cup placement were noted. We suggest that the fractures described below were a consequence of injury to the vascular supply and bone stock of the initially intact femoral neck.

No MeSH data available.


Related in: MedlinePlus