Exchange nailing and medial wall reconstruction following implant failure in a subtrochanteric femoral fracture

Exchange nailing and medial wall reconstruction following implant failure in a subtrochanteric femoral fracture

Failure of fixation of subtrochanteric fractures has been reported in as high as 20% of cases. Several associations have been suggested to contribute to failed fixation. Discontinuity of the medial wall/column is considered to be one of the most significant risk factors for non-union and subsequent...

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Autores principales: Philippa Richardson, Michalis Panteli, Peter V. Giannoudis
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
Materias:
Femur
Non-union(s)
Subtrochanteric
Nail
Revision
Surgery
RD1-811
Acceso en línea:https://doaj.org/article/23219ebfd5f544e09187f165ffc4fcfe
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spelling oai:doaj.org-article:23219ebfd5f544e09187f165ffc4fcfe2021-11-20T05:07:24ZExchange nailing and medial wall reconstruction following implant failure in a subtrochanteric femoral fracture2352-644010.1016/j.tcr.2021.100555https://doaj.org/article/23219ebfd5f544e09187f165ffc4fcfe2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352644021001606https://doaj.org/toc/2352-6440Failure of fixation of subtrochanteric fractures has been reported in as high as 20% of cases. Several associations have been suggested to contribute to failed fixation. Discontinuity of the medial wall/column is considered to be one of the most significant risk factors for non-union and subsequent implant failure, especially if this defect is not addressed during the revision surgery. We present a case of failed fixation of a subtrochanteric fracture in an 86-year-old female where revision surgery paid special attention to restoring the medial wall continuity via bone grafting resulting in satisfactory union of the fracture. We advocate the necessity of reconstructing the medial column in similar cases in order to enhance healing and restore the biomechanical support of the subtrochanteric region.Philippa RichardsonMichalis PanteliPeter V. GiannoudisElsevierarticleFemurNon-union(s)SubtrochantericNailRevisionSurgeryRD1-811ENTrauma Case Reports, Vol 36, Iss , Pp 100555- (2021)
institution DOAJ
collection DOAJ
language EN
topic Femur
Non-union(s)
Subtrochanteric
Nail
Revision
Surgery
RD1-811
spellingShingle Femur
Non-union(s)
Subtrochanteric
Nail
Revision
Surgery
RD1-811
Philippa Richardson
Michalis Panteli
Peter V. Giannoudis
Exchange nailing and medial wall reconstruction following implant failure in a subtrochanteric femoral fracture
description Failure of fixation of subtrochanteric fractures has been reported in as high as 20% of cases. Several associations have been suggested to contribute to failed fixation. Discontinuity of the medial wall/column is considered to be one of the most significant risk factors for non-union and subsequent implant failure, especially if this defect is not addressed during the revision surgery. We present a case of failed fixation of a subtrochanteric fracture in an 86-year-old female where revision surgery paid special attention to restoring the medial wall continuity via bone grafting resulting in satisfactory union of the fracture. We advocate the necessity of reconstructing the medial column in similar cases in order to enhance healing and restore the biomechanical support of the subtrochanteric region.
format article
author Philippa Richardson
Michalis Panteli
Peter V. Giannoudis
author_facet Philippa Richardson
Michalis Panteli
Peter V. Giannoudis
author_sort Philippa Richardson
title Exchange nailing and medial wall reconstruction following implant failure in a subtrochanteric femoral fracture
title_short Exchange nailing and medial wall reconstruction following implant failure in a subtrochanteric femoral fracture
title_full Exchange nailing and medial wall reconstruction following implant failure in a subtrochanteric femoral fracture
title_fullStr Exchange nailing and medial wall reconstruction following implant failure in a subtrochanteric femoral fracture
title_full_unstemmed Exchange nailing and medial wall reconstruction following implant failure in a subtrochanteric femoral fracture
title_sort exchange nailing and medial wall reconstruction following implant failure in a subtrochanteric femoral fracture
publisher Elsevier
publishDate 2021
url https://doaj.org/article/23219ebfd5f544e09187f165ffc4fcfe
work_keys_str_mv AT philipparichardson exchangenailingandmedialwallreconstructionfollowingimplantfailureinasubtrochantericfemoralfracture
AT michalispanteli exchangenailingandmedialwallreconstructionfollowingimplantfailureinasubtrochantericfemoralfracture
AT petervgiannoudis exchangenailingandmedialwallreconstructionfollowingimplantfailureinasubtrochantericfemoralfracture
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