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Symptoms indicating imminent breakage of a femoral interlocking nail: a case report.

Pan K, Chan W - Malays Orthop J (2013)

Bottom Line: Fractures of the femoral shaft treated with interlocking nails will ultimately result in breakage of the nail if the bone does not unite.The femur did not unite and the nail subsequently broke.Femur nonunion, interlocking nail, symptoms before breakage of nail.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, Universiti Malaysia Sarawak, Kuching, Malaysia.

ABSTRACT

Unlabelled: Fractures of the femoral shaft treated with interlocking nails will ultimately result in breakage of the nail if the bone does not unite. Further management requires removal of the broken nail which may be a difficult process for the distal segment. If we can identify the symptoms just before the nail breaks, an exchange nailing becomes much easier. We present a patient with fibromatosis who underwent repeated surgery as well as radiotherapy at the age of 16. Six years later, she had a pathological fracture of the upper third of the femur for which an interlocking nail was inserted. The femur did not unite and the nail subsequently broke. Over a period of 12 years, three nails broke and had to be replaced. Two to 3 months before each breakage, the patient experienced the same set of symptoms for each episode. Knowing that her fracture was not going to heal will now alert us to do an exchange nailing before the nail broke again. It is well known that where there is evidence of non-union, pre-emptive treatment is necessary before implant failure.

Key words: Femur nonunion, interlocking nail, symptoms before breakage of nail.

No MeSH data available.


Related in: MedlinePlus

: The last interlocking nail inserted in 2012.The fracture site has not united.
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F3b: : The last interlocking nail inserted in 2012.The fracture site has not united.

Mentions: A year later, the nail broke again. (Figure 3a) She had gainedweight during this time and had been walking a lot at a newjob. An exchange nailing was duly done. This third nail broke4 years later in 2012 and was followed by the third exchangenailing. (Figure 3b)


Symptoms indicating imminent breakage of a femoral interlocking nail: a case report.

Pan K, Chan W - Malays Orthop J (2013)

: The last interlocking nail inserted in 2012.The fracture site has not united.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4322138&req=5

F3b: : The last interlocking nail inserted in 2012.The fracture site has not united.
Mentions: A year later, the nail broke again. (Figure 3a) She had gainedweight during this time and had been walking a lot at a newjob. An exchange nailing was duly done. This third nail broke4 years later in 2012 and was followed by the third exchangenailing. (Figure 3b)

Bottom Line: Fractures of the femoral shaft treated with interlocking nails will ultimately result in breakage of the nail if the bone does not unite.The femur did not unite and the nail subsequently broke.Femur nonunion, interlocking nail, symptoms before breakage of nail.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, Universiti Malaysia Sarawak, Kuching, Malaysia.

ABSTRACT

Unlabelled: Fractures of the femoral shaft treated with interlocking nails will ultimately result in breakage of the nail if the bone does not unite. Further management requires removal of the broken nail which may be a difficult process for the distal segment. If we can identify the symptoms just before the nail breaks, an exchange nailing becomes much easier. We present a patient with fibromatosis who underwent repeated surgery as well as radiotherapy at the age of 16. Six years later, she had a pathological fracture of the upper third of the femur for which an interlocking nail was inserted. The femur did not unite and the nail subsequently broke. Over a period of 12 years, three nails broke and had to be replaced. Two to 3 months before each breakage, the patient experienced the same set of symptoms for each episode. Knowing that her fracture was not going to heal will now alert us to do an exchange nailing before the nail broke again. It is well known that where there is evidence of non-union, pre-emptive treatment is necessary before implant failure.

Key words: Femur nonunion, interlocking nail, symptoms before breakage of nail.

No MeSH data available.


Related in: MedlinePlus