Failure of intramedullary femoral nail with segmental breakage of distal locking bolts: a case report and review of the literature.
- Author:
Sameer AGGERWAL
1
;
Nitesh GAHLOT
;
Uttam-C SAINI
;
Kamal BALI
Author Information
1. Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
- Publication Type:Case Reports
- MeSH:
Adult;
Bone Nails;
Femoral Fractures;
surgery;
Fracture Fixation, Intramedullary;
methods;
Humans;
Male;
Treatment Failure
- From:
Chinese Journal of Traumatology
2011;14(3):188-192
- CountryChina
- Language:English
-
Abstract:
Breakage of locking bolts is an important cause of interlocking nail failure in femoral fractures. It usually occurs in the form of single breakage in one of the distal bolts of the nail or nail breakage around the distal locking hole. Here we report an unusual case of intramedullary femoral nail failure with segmental breakage of both the distal locking bolts. Such a scenario usually complicates further management. We successfully managed this case with exchange nailing without bone grafting. Here we briefly reviewed the literature regarding such an unusual presentation and discussed in detail the possible etiology of such a presentation and the management options when facing such a complex situation.
