• Der Unfallchirurg · Apr 2022

    [Femoral neck blade cut-in after internal fixation of a trochanteric femoral fracture with a TFNA©].

    • Mathias Reimond and Thomas Gross.
    • Orthopädische Klinik, Traumatologie, Kantonsspital Bruderholz, 4101, Bruderholz, Schweiz.
    • Unfallchirurg. 2022 Apr 27.

    AbstractFollowing fixation of a trochanteric femoral fracture with a TFNA© and despite correct fracture reduction and fixation, a 96-year-old patient suffered a complete cut-in, i.e. a medialization of the entire femoral neck blade through the nail into the hip joint. Against the background of implant development and current literature, this increasingly frequent type of complication is described and distinguished from other fixation failures such as the cut-out. Attempts to explain this phenomenon as well as research options are presented and a pragmatic approach to avoid this problem is outlined.© 2022. The Author(s).

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