DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20193843

Iatrogenic femoral neck fracture: an unusual cause

Ayoub Bouya, Naoufal Elghoul, Omar Zaddoug, Azzelarab Bennis, Mohammed Benchakroune, Ali Zine, Mansour Tanane, Abdeloihab Jaafar

Abstract


The femoral diaphyseal fracture is now commonly treated by intramedullary nailing. The fracture of the femoral neck following this gesture is an exceptional complication of this technique. Rarely reported in the literature, several authors incriminate mainly errors of the introduction point. We report a case of iatrogenic fracture of the femoral neck following an unusual cause.

Keywords


Femoral neck, Fracture, Iatrogenic, Intra-medullary nailing

Full Text:

PDF

References


Apivatthakakul T, Arpornchayanon O. Iatrogenic femoral neck fracture caused by mal-insertion of a curved intramedullary nail. Injury. 2001;32(9): 727-9.

Deep K, Sharp I, Hay SM. Femoral neck fracture complicating intramedullary nailing of femoral shaft: a case report. Injury. 1999;30(6):445-7.

Christie J, Court-Brown C. Femoral neck fracture during closed medullary nailing: brief report. J Bone Joint Surg Br. 1988;70(4):670.

Khan FA, Ikram MA, Badr AA, Al-Khawashki H. Femoral neck fracture: a complication of femoral nailing, Injury. 1995;26(5):319–21.

Harper MC, Henstrof J. Fractures of the femoral neck associated with technical errors in closed intramedullary nailing of the femur. J Bone Joint Surg Am. 1986;68(4):624-6.

Böstman O, Varjonen L, Vainionpää S, Majola A, Rokkanen P. Incidence of local complications after intramedullary nailing and after plate fixation of femoral shaft fractures. J Trauma. 1989;29(5):639-45.

Simonian PT, Chapman JR, Selzuick HS, Benirschke SK, Claudi BF, Swiontkowski MF. Iatrogenic fracture of the femoral neck during closed nailing of the femoral shaft. J Bone Joint Surg Br. 1994;76(2):293-6.

Yang KH, Han DY, Park HW, Kang HJ, Park JH. Fracture of the ipsilateral neck of the femur in shaft nailing. The role of CT in diagnosis. J Bone Joint Surg Br. 1998;80(4):673–8.

Bonnevialle P, Glasson JM, Determe P, Bellumore Y, Mansat M. Iatrogenic cervical fracture after femoral diaphyseal nailing. Rev Chir Orthop Reparatrice Appar Mot. 1999;85(4):397–403.

Castellanos J, Garcia-Nuño L, Cavanilles-Walker JM, Roca J. Iatrogenic Femoral Neck Fracture During Closed Nailing of the Femoral Shaft Fracture. Eur J Trauma Emerg Surg. 2009;35(5):479–81.

Miller SD, Burkart B, Damson E, Shrive N, Bray RC. The effect of the entry hole for an intramedullary nail on the strength of the proximal femur. J Bone Joint Surg Br. 1993;75(2):202-6.