title: Use of Huckstep nail in the periimplant femoral shaft fracture.
abstract: 87-year-old female underwent open reduction of distal femoral fracture and internal fixation with locking compression plate and bone graft. She was operated for ipsilateral proximal femoral fractures and stabilized by intramedullary interlocked nail 5 years ago. She developed stress fracture proximal to locked plate. We inserted Huckstep nail after removal of the previous operated proximal femoral nail without removing the remaining plate and screws. At 15 month followup the fractures have united. The Huckstep nail has multiple holes available for screw fixation at any level in such difficult situations.
authors: Department of Orthopedic Surgery, Kangnam Sacred Heart, Hospital, College of Medicine, Hallym University, Seoul, Korea.
authors: Hong Kyun
authors: HK
authors: Kim
authors: Kyu Cheol
authors: KC
authors: Noh
authors: Kook Jin
authors: KJ
authors: Chung
authors: Ji Hyo
authors: JH
authors: Hwang
keywords: Femur; Huckstep nail; periimplant fracture; stress riser