Iatrogenic Femoral Neck Fracture Following Femoral Shaft Intramedullary Nailing (Report of One Case)

Kazemian, Gholamhossein; Kazemian, Gholamhossein; Tavakoli Darestani, Reza; Emami Tehrani Moghaddam, Mohammad; Manafi Rasi, Alireza; Asghari, Behrouz; Nemati, Ali; Safdari, Farshad

doi:10.22034/ijos.2020.121066

Iatrogenic Femoral Neck Fracture Following Femoral Shaft Intramedullary Nailing (Report of One Case)

Authors

Gholamhossein Kazemian

Reza Tavakoli Darestani

Mohammad Emami Tehrani Moghaddam

Alireza Manafi Rasi

Behrouz Asghari

Ali Nemati

Farshad Safdari

https://doi.org/10.22034/ijos.2020.121066

Abstract

Two patients with iatrogenic femoral neck fracture following intramedullary fixation of the diaphyseal fractures are reported. This is a rare complication of intramedullary nailing (IMN), has poor prognosis and is preventable. It seems that choosing the piriformis fossa as the entry point, increased neck-shaft angle (coxa valga) and excessive nail insertion increased the risk of the iatrogenic neck fracture.

Keywords

Femur neck fractures

Fracture fixation, intramedullary

Femoral fractures