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Expert tibia nail for subtrochanteric femoral fracture to prevent thermal injury

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Affiliated Author(s)
이경재민병우
Alternative Author(s)
Lee, Kyung JaeMin, Byung Woo
Journal Title
International Journal of Surgery Case Reports
ISSN
2210-2612
Issued Date
2015
Abstract
INTRODUCTION: Subtrochanteric femoral fractures are relatively uncommon, accounting for 7–15% of
all hip fractures and treatment of these fractures are considered challenge for orthopaedic surgeons.
Although several treatment options are reported with up to 90% of satisfactory results, the choice of the
appropriate implant is still a matter of debate. Some authors reported thermal injury after reaming for
intramedullary nail fixation in patients with narrow medullary canal.
PRESENTATION OF CASE: A 21-year-old female patient was admitted to our hospital because of right
subtrochanteric femoral fracture. The narrowest diameter of medullary canal of her femur was about
7mm but she refused open reduction and internal fixation with plate due to large scar formation. We
used expert tibia nail instead of femoral intramedullary nail to prevent thermal injury.
DISCUSSION: Subtrochanteric femoral fractures are difficult to treat because of their biomechanical and
anatomical characteristics. Although several implants are reported for the surgical treatment of these
fractures, intramedullary nails have been advocated due to their biological and biomechanical advantages.
However, under certain circumstances with associated injury or anatomic difference we might consider
another treatment options.
CONCLUSION: Expert tibia nail may be considered one of the treatment options for subtrochanteric
femoral fracture with narrow medullary canal. We also emphasize the importance of preoperative evaluation
of the medullary canal size for these risky fractures.
© 2015 The Authors. Published by Elsevier Ltd. on behalf of Surgical Associates Ltd. This is an open
Department
Dept. of Orthopedic Surgery (정형외과학)
Publisher
School of Medicine
Citation
Kyung-Jae Lee et al. (2015). Expert tibia nail for subtrochanteric femoral fracture to prevent
thermal injury. International Journal of Surgery Case Reports, 10, 158–161. doi: 10.1016/j.ijscr.2015.03.048
Type
Article
ISSN
2210-2612
DOI
10.1016/j.ijscr.2015.03.048
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36014
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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