Management of a trochanteric fracture complicated by a bent solid intramedullary femoral nail in situ: description of technique

J Orthop Trauma. 2010 Mar;24(3):e25-30. doi: 10.1097/BOT.0b013e3181b2f70d.

Abstract

A femoral refracture in the presence of an intramedullary nail in situ remains a challenging technical problem. This is particularly true when dealing with vintage implants phased out from the market, which lack a specific extraction device. In the present case report, we share our experience on the fixation technique of a trochanteric femur fracture in the presence of a "classic" solid Schneider nail, which had been implanted more than 20 years earlier. Detailed preoperative planning and adequate surgical technique represent prerequisites for successful management of such a demanding condition with the aim of reducing the imminent risk of intraoperative technical complications and adverse patient outcome.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bone Nails*
  • Bone Plates
  • Device Removal / methods*
  • Fracture Fixation, Intramedullary / instrumentation
  • Fracture Fixation, Intramedullary / methods*
  • Hip Fractures / complications
  • Hip Fractures / surgery*
  • Humans
  • Male
  • Prosthesis Failure*
  • Treatment Outcome