Complete traumatic backout of the blade of proximal femoral nail antirotation: A case report - 27/05/14
, T. Niikura, T. Iwakura, Y. Sakai, R. Kuroda, M. Kurosaka
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Abstract |
This article presents a rare case of traumatic complete expulsion of the helical blade after successful treatment of an intertrochanteric fracture with proximal femoral nail antirotation (PFNA). A 94-year-old woman sustained an intertrochanteric fracture of the left femur. Fracture fixation was performed by using PFNA-II. At six months FU, the patient presented with pain at the proximal lateral left thigh after she had fallen. A protrusion was noted. Radiographs showed a complete expulsion of the helical blade with a healed intertrochanteric fracture. The PFNA-II was removed and a cemented bipolar hemiarthroplasty was performed. At 5 months after surgery, the patient was able to walk with a walker without pain. Traumatic complete expulsion of the blade should be considered as a possible complication of PFNA/PFNA-II.
Le texte complet de cet article est disponible en PDF.Keywords : Intertrochanteric fracture, Complication, Proximal femoral nail antirotation, PFNA, Fixation implant failure
Plan
Vol 100 - N° 4
P. 441-443 - juin 2014 Retour au numéro
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