Intramedullary femoral nail fixation for A pathological fracture distal to A resurfacing arthroplasty

Traumatic femoral shaft fractures distal to a hip resurfacing arthroplasty (HRA) are rare. Only four cases have been described in which an intramedullary nail was used to treat the fracture. We present the first case in the literature of a pathological femoral shaft fracture distal to a HRA, and des...

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Main Authors: David RW MacDonald, Iain Stevenson
Format: Article
Language:English
Published: SAGE Publishing 2021-09-01
Series:Journal of Orthopaedics, Trauma and Rehabilitation
Online Access:https://doi.org/10.1177/22104917211039519
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spelling doaj-008f78ec68f44708bc7b1e446f2c1f412021-09-08T21:33:53ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49252021-09-012810.1177/22104917211039519Intramedullary femoral nail fixation for A pathological fracture distal to A resurfacing arthroplastyDavid RW MacDonaldIain StevensonTraumatic femoral shaft fractures distal to a hip resurfacing arthroplasty (HRA) are rare. Only four cases have been described in which an intramedullary nail was used to treat the fracture. We present the first case in the literature of a pathological femoral shaft fracture distal to a HRA, and describe its treatment with an anterograde intramedullary femoral nail with proximal locking screws placed into the femoral head overlapping the HRA stem. This demonstrates that the presence of a hip resurfacing arthroplasty does not preclude from utilising an intramedullary nail with recon screws to stabilise a pathological fracture.https://doi.org/10.1177/22104917211039519
collection DOAJ
language English
format Article
sources DOAJ
author David RW MacDonald
Iain Stevenson
spellingShingle David RW MacDonald
Iain Stevenson
Intramedullary femoral nail fixation for A pathological fracture distal to A resurfacing arthroplasty
Journal of Orthopaedics, Trauma and Rehabilitation
author_facet David RW MacDonald
Iain Stevenson
author_sort David RW MacDonald
title Intramedullary femoral nail fixation for A pathological fracture distal to A resurfacing arthroplasty
title_short Intramedullary femoral nail fixation for A pathological fracture distal to A resurfacing arthroplasty
title_full Intramedullary femoral nail fixation for A pathological fracture distal to A resurfacing arthroplasty
title_fullStr Intramedullary femoral nail fixation for A pathological fracture distal to A resurfacing arthroplasty
title_full_unstemmed Intramedullary femoral nail fixation for A pathological fracture distal to A resurfacing arthroplasty
title_sort intramedullary femoral nail fixation for a pathological fracture distal to a resurfacing arthroplasty
publisher SAGE Publishing
series Journal of Orthopaedics, Trauma and Rehabilitation
issn 2210-4925
publishDate 2021-09-01
description Traumatic femoral shaft fractures distal to a hip resurfacing arthroplasty (HRA) are rare. Only four cases have been described in which an intramedullary nail was used to treat the fracture. We present the first case in the literature of a pathological femoral shaft fracture distal to a HRA, and describe its treatment with an anterograde intramedullary femoral nail with proximal locking screws placed into the femoral head overlapping the HRA stem. This demonstrates that the presence of a hip resurfacing arthroplasty does not preclude from utilising an intramedullary nail with recon screws to stabilise a pathological fracture.
url https://doi.org/10.1177/22104917211039519
work_keys_str_mv AT davidrwmacdonald intramedullaryfemoralnailfixationforapathologicalfracturedistaltoaresurfacingarthroplasty
AT iainstevenson intramedullaryfemoralnailfixationforapathologicalfracturedistaltoaresurfacingarthroplasty
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