Failure of femoral nailing in the elderly.
Failure of fixation of a fracture of the mid-shaft of the femur in a 73-year-old male occurred 4 weeks after insertion of a reamed Grosse-Kempf nail. The oblique locking screw had cut out, despite having been correctly sited at the primary operation. A satisfactory result was obtained following open nailing using an AO nail. Two transverse proximal locking screws provide more certain fixation in osteoporotic bone of elderly patients.
Harrington
P
P
Department of Orthopaedics, St. James's Hospital, Dublin, Ireland.
Sharif
I
I
Smyth
H
H
D000058:Accidental Falls; D000368:Aged; D000375:Aging / Q000502:physiology; D001858:Bone Nails / Q000009:adverse effects*; D004868:Equipment Failure; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008297:Male; D011859:Radiography; D012086:Reoperation