Fractures of the femoral neck associated with technical errors in closed intramedullary nailing of the femur. Report of two cases.

Ipsilateral femoral neck and shaft fractures: An analysis of two treatment methods

“…A neck fracture might be analyzed promptly in the wake of nailing or a few days after the fact, when assembly starts, and a few cases have been accounted for as iatrogenic fractures [13] . The defective presentation of a femoral nail may cause an iatrogenic fracture of the femoral neck, yet many so portrayed are most likely because of unsettling influence of an undisplaced break amid nailing [14,15] . In spite of the fact that the huge majority of ipsilateral femoral neck fractures are because of the damage, the underlying nonappearance of radiographic discoveries has driven some to conjecture that they may occasionally be iatrogenically prompted [16] .…”

Concurrent ipsilateral fractures of the hip and femoral shaft:A meta-analysis of 659 cases

“…The use of an image intensifier during operative fixation also makes it possible to examine the hip. A complete diagnosis before the fixation of the shaft fracture is important, not only because it permits treatment of the fractures in the same session but also for medicolegal reasons, because a fernorid neck fracture may occur as a complication of intramedullary nailing of the shaft fracture (Harper and Henstorf 1986, Christie and Court-Brown 1988, Alho et al 1991). …”

Iatrogenic femoral neck fracture during closed nailing of the femoral shaft fracture

“…Harper and Henstorf [4] advocate that this complication could be produced due to a misdirected introduction of the nail, resulting in violation of the medial aspect of the femoral neck. Of the same opinion are Christie and Court-Brown [5], who insist on the importance of avoiding an oblique insertion of the nail.…”

“…To the authors knowledge, only 19 cases have been described in the literature (Table 1) [4][5][6][7][8][9][10]. The authors report four new cases of this unusual complication.…”