Reconstruction femoral nailing for nonunion of subtrochanteric fracture: a revision technique following dynamic condylar screw failure.
We report two cases of nonunion of subtrochanteric fractures associated with failure of fixation with a dynamic condylar screw (DCS) due to plate fracture. In both cases the nonunion was successfully treated by insertion of a reconstruction femoral nail. This implant allowed early weightbearing despite the patients' advanced age and poor bone quality. We did not perform direct bone grafting and the fractures healed without complication.
Charnley
G J
GJ
Department of Orthopaedic Surgery, Frenchay Hospital, Bristol, United Kingdom.
Ward
A J
AJ
D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D001863:Bone Screws / Q000009:adverse effects*; D004868:Equipment Failure; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery*; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D012086:Reoperation