Subtrochanteric fracture after cannulated screw fixation of femoral neck fractures: a report of four cases

J Orthop Trauma. 2003 Mar;17(3):225-9. doi: 10.1097/00005131-200303000-00013.


Subtrochanteric fractures after screw or pin fixation of femoral neck fractures are a recognized complication. No literature is available on this complication after fixation using the recently popularized cannulated screws. We present our experience in treating four of these complications. The common denominator for all four patients seemed to be an entry point in the lateral cortex below the level of the most inferior edge of the lesser trochanter.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bone Plates
  • Bone Screws / adverse effects*
  • Female
  • Femoral Neck Fractures / diagnostic imaging
  • Femoral Neck Fractures / surgery*
  • Fracture Fixation, Internal / adverse effects*
  • Fracture Fixation, Internal / instrumentation
  • Fracture Fixation, Internal / methods
  • Fracture Healing / physiology
  • Hip Fractures / diagnostic imaging
  • Hip Fractures / etiology
  • Hip Fractures / surgery*
  • Humans
  • Male
  • Postoperative Complications / surgery
  • Prognosis
  • Radiography
  • Recovery of Function
  • Reoperation
  • Risk Assessment
  • Sampling Studies
  • Treatment Outcome