title: Management of a trochanteric fracture complicated by a bent solid intramedullary femoral nail in situ: description of technique.
abstract: A femoral refracture in the presence of an intramedullary nail in situ remains a challenging technical problem. This is particularly true when dealing with vintage implants phased out from the market, which lack a specific extraction device. In the present case report, we share our experience on the fixation technique of a trochanteric femur fracture in the presence of a "classic" solid Schneider nail, which had been implanted more than 20 years earlier. Detailed preoperative planning and adequate surgical technique represent prerequisites for successful management of such a demanding condition with the aim of reducing the imminent risk of intraoperative technical complications and adverse patient outcome.
authors.affiliation: Department of Orthopaedic Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO 80204, USA. philip.stahel@dhha.org
authors.forename: Philip F
authors.initials: PF
authors.lastname: Stahel
authors.forename: Michael A
authors.initials: MA
authors.lastname: Flierl
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Morgan
authors.forename: Wade R
authors.initials: WR
authors.lastname: Smith
mesh_terms: D000328:Adult; D001858:Bone Nails; D001860:Bone Plates; D020878:Device Removal / Q000379:methods*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D006620:Hip Fractures / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D011475:Prosthesis Failure; D016896:Treatment Outcome