Subcapital femoral neck fracture after fixation of an intertrochanteric fracture with a proximal femoral nail: a report of two cases.
Subcapital femoral neck fractures are a rare complication after fixation of an intertrochanteric fracture with a proximal femoral nail. We report 2 such cases where the patients had severe osteoporosis, based on Singh's index and pathological findings. In one case there was a technical error leading to a tip-apex distance of more than 20 mm, but osteoporosis appeared to be a more significant cause than any technical problems.
Kaneko
Haruka
H
Department of Orthopaedic Surgery, Juntendo University Nerima Hospital, Tokyo, Japan.
Matsuda
Keiji
K
Kim
Sungon
S
Maeda
Kouichi
K
Ikegami
Takashi
T
Kubota
Reiko
R
Nagayama
Masataka
M
Nozawa
Masahiko
M
D000058:Accidental Falls; D000369:Aged, 80 and over; D001858:Bone Nails; D005260:Female; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D019300:Medical Errors; D015663:Osteoporosis, Postmenopausal / Q000150:complications* / Q000601:surgery; D011859:Radiography