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

By Paweł Grala, Bartosz Mańkowski and Grzegorz Kierzynka

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

Topics: Case Report
Publisher: Springer Milan
OAI identifier: oai:pubmedcentral.nih.gov:2657352
Provided by: PubMed Central

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Citations

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  2. (1988). Femoral neck fracture during closed medullary nailing: brief report.
  3. (1995). Femoral neck fracture: a complication of femoral nailing.
  4. (1986). Fractures of the femoral neck associated with technical errors in closed intramedullary nailing of the femur. Report of two cases.
  5. (2001). Iatrogenic femoral neck fracture caused by mal-insertion of a curved intramedullary nail.
  6. (1994). Iatrogenic fractures of the femoral neck during closed nailing of the femoral shaft.
  7. (2007). Lateral insertion points in antegrade femoral nailing and their influence on femoral bone strains.

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