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J Orthop Surg (Hong Kong) · Dec 2009
Case ReportsSubcapital femoral neck fracture after fixation of an intertrochanteric fracture with a proximal femoral nail: a report of two cases.
- Haruka Kaneko, Keiji Matsuda, Sungon Kim, Kouichi Maeda, Takashi Ikegami, Reiko Kubota, Masataka Nagayama, and Masahiko Nozawa.
- Department of Orthopaedic Surgery, Juntendo University Nerima Hospital, Tokyo, Japan.
- J Orthop Surg (Hong Kong). 2009 Dec 1;17(3):370-3.
AbstractSubcapital 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.
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