Journal of Musculoskeletal Trauma

Case Report

Bursting Fracture of the Proximal Femur during Insertion of Unreamed Femoral Nail for Femur Shaft Fracture: A Case Report: Ji Wan Kim, Seong Eun Byun, Won Hyuk Oh, Jung Jae Kim; J Korean Fract Soc 2010;23(2):227-231. Published online April 30, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.2.227

When treating femur shaft fracture in adults, undreamed nail can be an option in order to avoid systemic complications. To appropriately insert unreamed intramedullary nail, an accurate entry point and sufficient reaming of the entry portal is essential. The intramedullary canal of the proximal femur must be reamed over than the diameter of the proximal end of the nail. If the proximal reaming is not sufficient, complications such as bursting fracture of proximal femur can occur. We present two cases of bursting fracture of proximal femur following insertion of undreamed intramedullary nail as well as a literature review.

Citations

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Risk Factors Associated with Intraoperative Iatrogenic Fracture in Patients Undergoing Intramedullary Nailing for Atypical Femoral Fractures with Marked Anterior and Lateral Bowing
Yong Bum Joo, Yoo Sun Jeon, Woo Yong Lee, Hyung Jin Chung
Medicina.2023; 59(4): 735. CrossRef
Results of Intramedullary Nailing of Femoral Shaft Fracture - Trochanteric Entry Portal (Sirus Nail) versus Piriformis Entry Portal (M/DN Nail) -
Sang Ho Ha, Woong-Hee Kim, Gwang Chul Lee
Journal of the Korean Fracture Society.2014; 27(1): 50. CrossRef
Iatrogenic Femur Proximal Shaft Fracture during Nailing Using Lateral Entry Portal on Femur Shaft Fracture
Hong Moon Sohn, Gwang Chul Lee, Chae Won Lim
Journal of the Korean Orthopaedic Association.2014; 49(4): 272. CrossRef

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