Spontaneous Subcapital Femoral Neck Fracture After Healed Trochanteric Fracture

Buciuto, Robert; Hammer, Richard; Herder, Anders

doi:10.1097/00003086-199709000-00023

Cited by 23 publications

(15 citation statements)

References 10 publications

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“…He was treated electively by hemiarthroplasty. Buciuto et al [2] reported on seven patients with unstable pertrochanteric fractures fixed with either a fixed-angled plate or a DHS, who sustained spontaneous fractures of the femoral neck after removal of the implant. They stated that the mechanism of such complication is unknown.…”

Section: Discussionmentioning

confidence: 99%

Safety and reliability of external fixation for basicervical and intertrochanteric fractures in high-risk elderly patients

Boghdady¹,

Shalaby²

2007

Strategies in Trauma and Limb Reconstruction

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Forty elderly patients with basicervical and pertrochanteric fractures were managed with uniplanar AO external fixator under regional anaesthetic block of the femoral nerve and lateral cutaneous nerve of the thigh from April 2003 to March 2006. The mean age of the patients was 67.9 +/- 5.5 years. External fixator application was performed under radiological control after closed reduction had been obtained. Comorbid factors, duration of surgery, duration of hospitalisation, complications, walking ability, time to union and mortality rate were recorded. Patients were followed up for a mean period of 12 +/- 4.5 months. Superficial pin tract infection occurred in 13 patients, healing in varus >10 degrees and with shortening >2 cm occurred in six patients, and one patient suffered a spontaneous ipsilateral femoral neck fracture after removal of the fixator. The mean time for union was 10.4 +/- 1.2 weeks. Rapid union rate and minor complications obtained in the present study are comparable to those obtained with standard internal fixation techniques. Minimal intraoperative blood loss, short operative time and early patient mobilisation are advantages signifying uniplanar external fixator application under regional anaesthetic block to be a viable option in treatment of basicervical and pertrochanteric fractures in high-risk elderly patients.

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Section: Discussionmentioning

confidence: 99%

Safety and reliability of external fixation for basicervical and intertrochanteric fractures in high-risk elderly patients

Boghdady¹,

Shalaby²

2007

Strategies in Trauma and Limb Reconstruction

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“…[12][13][14] After hip hardware removal, refracture is possible, and the suggestion of protected weight bearing for 4 to 6 weeks has been made. 15,16 Our case is unusual for 2 reasons. Despite partial weight bearing for 6 weeks with a walker, a fracture occurred.…”

Section: Discussionmentioning

confidence: 79%

Femoral Neck Fracture Following Hardware Removal

Shaer

Hileman²,

Newcomer³

et al. 2012

Orthopedics

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It is uncommon for femoral neck fractures to occur after proximal femoral hardware removal because age, osteoporosis, and technical error are often noted as the causes for this type of fracture. However, excessive alcohol consumption and failure to comply with protected weight bearing for 6 weeks increases the risk of femoral neck fractures.This article describes a case of a 57-year-old man with a high-energy ipsilateral inter-trochanteric hip fracture, comminuted distal third femoral shaft fracture, and displaced lateral tibial plateau fracture. Cephalomedullary fixation was used to fix the ipsilateral femur fractures after medical stabilization and evaluation of the patient. The patient healed clinically and radiographically at 6 months. Despite conservative treatment for painful proximal hardware, elective hip screw removal was performed 22.5 months after injury. Seven weeks later, he sustained a nontraumatic femoral neck fracture.In this case, it is unlikely that the femoral neck fracture occurred as a result of hardware removal. We assumed that, in addition to the patient's alcohol abuse and tobacco use, stress fractures may have attributed to the femoral neck fracture. We recommend using a shorter hip screw to minimize hardware prominence or possibly off-label use of an injectable bone filler, such as calcium phosphate cement.

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“…Despite of the diversity of complications described in literature, we didn't find any case of femoral neck fracture after PFN ® removal with the primary fracture showing union, although this complication is described in association with other syntheses. 11,12 The occurrence of femoral neck fractures after transtrochanteric fracture union is a rare event. [11][12][13][14][15][16] Most of the times, when this occurs, these fractures are associated to a new trauma episode 12,13,[15][16][17] , its occurrence being uncommon after implants removal.…”

Section: One Of the Most Common Complications Of Pfnmentioning

confidence: 99%

“…[11][12][13][14][15][16] Most of the times, when this occurs, these fractures are associated to a new trauma episode 12,13,[15][16][17] , its occurrence being uncommon after implants removal. 11,15 The real cause of this complication is still unclear, but literature suggests that its etiology may be correlated to an incorrect inser- …”

Section: One Of the Most Common Complications Of Pfnmentioning

confidence: 99%