Bursting Fracture of the Proximal Femur during Insertion of Unreamed Femoral Nail for Femur Shaft Fracture: A Case Report.
10.12671/jkfs.2010.23.2.227
- Author:
Ji Wan KIM
1
;
Seong Eun BYUN
;
Won Hyuk OH
;
Jung Jae KIM
Author Information
1. Department of Orthopaedic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. jjkim2@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Femur;
Femurs shaft fracture;
UFN;
Complication;
Intraoperative fracture
- MeSH:
Adult;
Femur;
Humans;
Nails
- From:Journal of the Korean Fracture Society
2010;23(2):227-231
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
