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Case Report
- Iatrogenic Subtrochanteric Fractures Related to the Surgical Error: Two Cases Report
- Kook Jin Chung, M.D., June Young Jeon, M.D., Hyun Woo Na, M.D., Ji Hyo Hwang, M.D., Ph.D.
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Journal of the Korean Fracture Society 2015;28(4):250-255.
DOI: https://doi.org/10.12671/jkfs.2015.28.4.250
Published online: October 19, 2015
Department of Orthopaedic Surgery, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea.
- Address reprint requests to: Address reprint requests to: Ji Hyo Hwang, M.D., Ph.D. Department of Orthopaedic Surgery, Hallym University Kangnam Sacred Heart Hospital, 1 Singil-ro, Yeongdeungpo-gu, Seoul 07441, Korea. Tel: 82-2-829-5435, Fax: 82-2-848-6020, hwangjihyo7309@gmail.com
• Received: September 2, 2015 • Revised: September 5, 2015 • Accepted: September 5, 2015
Copyright © 2015 The Korean Fracture Society. All rights reserved.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract
- Iatrogenic fracture is not popular and might be recognized as a malpractice. Surgical error related to iatrogenic fracture which has occurred after an operation can be detected only by a surgeon. Stress riser fracture is another form of iatrogenic fracture also known as a Young's modulus fracture. As the majority of surgical related stress riser fractures can be preventive, the accurate prevalence is not known. The majority of fractures occurred in the weight bearing bones such as femur and tibia. The subtrochanter area is the most stress concentrated area in the human body, thus it is a common area for occurrence of stress riser iatrogenic fractures. We experienced 2 cases of stress riser iatrogenic fractures, which are related to technical errors, thus we report cases with literature review.
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Fig. 2
Three cannulated screws were too clustered and empty screw holes remained in the lateral cortex which is not seen in the plain X-ray.
Figure & Data
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- Mechanical and Physical Characteristics Analysis of Radius Trauma Plate by EBM Additive Manufacturing
Kwun-Mook Lim, Sung-Jun Park
Journal of the Korean Society of Manufacturing Technology Engineers.2020; 29(2): 147. CrossRef
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Fig. 1
X-ray shows a femoral neck fracture in a 63-year-old male.
Fig. 2
Three cannulated screws were too clustered and empty screw holes remained in the lateral cortex which is not seen in the plain X-ray.
Fig. 3
The new fracture occurred at the level of empty holes and screw heads area.
Fig. 4
The fracture was reducted by a proximal femur nail (PFN®).
Fig. 5
An 81-year-old female was transferred due to hip pain. She was treated by in situ pin fixation at the local clinic. The two screws were located below the level of the lesser trochanter.
Fig. 6
Hot uptake in the old fracture area and the screw heads area.
Fig. 7
The new fracture occurred at the distal tip of the screws.
Fig. 8
The subtrochanter fracture was reducted by PFNA® after removal of the screws.
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Iatrogenic Subtrochanteric Fractures Related to the Surgical Error: Two Cases Report
