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Orthop Traumatol Sur · Jun 2014
Case ReportsComplete traumatic backout of the blade of proximal femoral nail antirotation: a case report.
- S Y Lee, T Niikura, T Iwakura, Y Sakai, R Kuroda, and M Kurosaka.
- Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017 Kobe, Japan. Electronic address: sangyang@beige.plala.or.jp.
- Orthop Traumatol Sur. 2014 Jun 1;100(4):441-3.
AbstractThis article presents a rare case of traumatic complete expulsion of the helical blade after successful treatment of an intertrochanteric fracture with proximal femoral nail antirotation (PFNA). A 94-year-old woman sustained an intertrochanteric fracture of the left femur. Fracture fixation was performed by using PFNA-II. At six months FU, the patient presented with pain at the proximal lateral left thigh after she had fallen. A protrusion was noted. Radiographs showed a complete expulsion of the helical blade with a healed intertrochanteric fracture. The PFNA-II was removed and a cemented bipolar hemiarthroplasty was performed. At 5 months after surgery, the patient was able to walk with a walker without pain. Traumatic complete expulsion of the blade should be considered as a possible complication of PFNA/PFNA-II.Copyright © 2014 Elsevier Masson SAS. All rights reserved.
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