Proximal Cortical Breach After Retrograde Femoral Nailing for Femoral Shaft Fracture: A Case Report

JBJS Case Connect. 2020 Jan-Mar;10(1):e0388. doi: 10.2106/JBJS.CC.19.00388.


Case: A case of a distal third femoral shaft fracture treated with retrograde nailing complicated by proximal cortical breach is presented. The proximal fracture was detected intraoperatively and treated with plating.

Conclusion: Although rare, clinicians should be cognizant of the risk for proximal femur fractures secondary to retrograde femoral nailing in elderly patients.

Publication types

  • Case Reports

MeSH terms

  • Accidental Falls
  • Aged
  • Femoral Fractures / diagnostic imaging
  • Femoral Fractures / etiology
  • Femoral Fractures / surgery*
  • Fracture Fixation, Intramedullary / adverse effects*
  • Fracture Fixation, Intramedullary / instrumentation
  • Fracture Fixation, Intramedullary / methods
  • Fractures, Comminuted / diagnostic imaging
  • Fractures, Comminuted / etiology
  • Fractures, Comminuted / surgery*
  • Humans
  • Male